Get Humana 2009 Prior Authorization Pre Cert Form (pdf) -

Filling out the Humana 2009 Prior Authorization Pre Cert Form is an essential step for users seeking medication authorization. This guide offers a clear, step-by-step approach to ensure that you complete the form accurately and efficiently online.

Follow the steps to effectively complete your application.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling in the member information section. Include the member's name and date of birth. Ensure that all details are easy to read and accurate.
3. Proceed to the physician information section. Fill in the physician's name, home phone number, tax ID, address, and city, ensuring to provide complete information.
4. Indicate the location where the medication will be administered. Choose from options such as the prescriber's office, home health, or outpatient facility. If applicable, provide the required facility details.
5. Answer the questions in the diagnosis and medical information section. Mark 'Yes' or 'No' as appropriate for each question concerning clinical trials, ongoing medications, and other medical history.
6. Document any previous treatments, including their duration and outcomes. Provide details on any responses to nonpharmacologic treatments, if relevant.
7. In the medication and dose requested section, specify the medications requested and the dosage. Ensure that you adhere to quantity limitations as outlined in the form.
8. Review the completed form for any blank or unclear fields that may delay processing. Confirm that the information provided is accurate and up-to-date.
9. Once all sections are filled out accurately, save any changes made to the form. You can then download, print, or share the form as needed.

Complete your submission process today to streamline your medication authorization!