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MEDI-CAL PARTNERSHIP HEALTHPLAN OF CALIFORNIA 360 Campus Lane, Suite 100 Fairfield CA 94534 (707) 863-4133 or (800) 863-4144 FAX # (707) 863-4118 www.partnershiphp.org TREATMENT AUTHORIZATION REQUEST.

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There are two ways to submit a TAR for review, electronically or by paper. The TAR processing system will accept TARs via the electronic TAR (eTAR) system. Electronic TAR (eTAR) is a web-based direct data entry system used by Medi-Cal providers.

The AR will indicate the Pricing Indicator that must be combined with a TAR Control Number (TCN) to form the 11-digit number that must be entered on the claim form when this service is billed.

Providers can use this form to request authorization for outpatient services, out-of-area authorized referrals and durable medical equipment requests.

Most TAR Control Numbers (TCNs) have a total of 11 digits. The first two digits indicate the Medi-Cal field office number. The next eight digits are the sequence numbers of the TAR form. The last digit is a pricing indicator.

To ensure reimbursement, the appropriate Medi-Cal field office must authorize many elective/non- emergency services BEFORE you submit a claim. Providers request authorization by submitting a Treatment Authorization (TAR) form to the appropriate Medi-Cal field office.

Some medical, pharmacy, or dental services require a treatment authorization request (TAR) beforehand. Ask your provider whether a service will need a TAR and how long the authorization process could take. (If you have a TAR number from your provider, you can find the status on the state website).

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232