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  • Prior Authorization Request Form - Anthem

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Prior Authorization Request Form Please complete the following required information and fax to 1-800-601-4829 Or mail to: Anthem Prescription Management, LLC 8990 Duke Blvd. Mason, Ohio 45040 We cannot.

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Health care providers usually initiate the prior authorization request from your insurance company for you. However, it is your responsibility to make sure that you have prior authorization before receiving certain health care procedures, services and prescriptions.

The prior authorization process gives your health insurance company a chance to review how necessary a certain medication may be in treating your medical condition. ... To avoid paying the full cost for medications that are not covered, ask your doctor if the medications you're taking are covered under your plan.

How long is the review process? A prior authorization decision may take up to 24 to 72 hours. How do I check the status of a prior authorization request? You can call the Member Services phone number on your member ID card from 7 a.m. to 7 p.m. Pacific time, Monday through Friday, or you can call your doctor's office.

Where can a grievance be filed? File grievances over the phone by calling Member Services at 1-855-817-5785 (TTY: 711). Monday through Friday from 8 a.m. to 8 p.m. The call is free.

A prior authorization pharmacist works specifically with the pre-approval process of filling prescribed medication orders to ensure the proper insurance coverage and efficacy for the drugs used. In this career, you work with patients as well as clinical staff, who relay prescription information from a provider.

Approval from a health plan that may be required before you get a service or fill a prescription in order for the service or prescription to be covered by your plan.

Step 1: Contact Us. Call the Member Services phone number on your member ID card. ... Step 2: Submit A Written Appeal. CareFirst BlueChoice must receive your written appeal within 180 days of the date of notification of the denial of benefits or services. ... Step 3: Appeal Decisions.

Anthem has made the business decision to make the 90-day timely filing requirement effective for professional claims received with a date of service ON or AFTER November 1, 2019. We will NOT implement the requirement for professional claims with dates of service prior to November 1, 2019.

A prior authorization (PA), sometimes referred to as a pre-authorization, is a requirement from your health insurance company that your doctor obtain approval from your plan before it will cover the costs of a specific medicine, medical device or procedure.

If you prefer, you can request an appeal verbally by calling 800-533-1120. and requests received on an Anthem 151 Claim Information/Adjustment Request form will not be considered an appeal. Anthem encourages you to ask for an appeal in writing. However, an appeal may also be requested by phone.

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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
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
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