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  • Green Shield Authorization Form

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AUTHORIZATION FORM FOR PROSTHETIC APPLIANCES AND DURABLE MEDICAL EQUIPMENT PO Box 1623, Windsor, Ontario N9A 7B3 Attn: EHS Department Customer Service Centre 1-888-711-1119 or (519) 739-1133 Fax (519).

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Special Authorization and Prior Authorization are interchangeable terms we use to describe a pre-approval process that helps us determine if certain prescription drugs will be reimbursed under your benefit plan. Most drugs that require prior authorization are considered high-cost specialty drugs.

Contact our Customer Service Centre (Mon to Fri 8:30 am - 8:30 pm ET) at 1.888.711.1119 or email customer.service@greenshield.ca.

Prior authorization (also called “preauthorization” and “precertification”) refers to a requirement by health plans for patients to obtain approval of a health care service or medication before the care is provided. This allows the plan to evaluate whether care is medically necessary and otherwise covered.

No authorization means no payment. Insurers won't pay for procedures if the correct prior authorization isn't received, and most contracts restrict you from billing the patient. PA denials result in lost revenue, declines in provider and patient satisfaction, and delays in patient care.

Green Shield Canada (GSC) is a not-for-profit benefits carrier that provides drug, dental, extended health care, vision, hospital and travel benefits for groups and individuals, as well as administration services.

Requests for authorization for BCBS Michigan members can be submitted directly through your local Blue plans electronic portal via the Electronic Provider Access system (EPA). BCBSM encourages the use of the Electronic Provider Access system (EPA) to effectively and efficiently respond to your request.

When your doctor decides that you need a service or medication, and it requires pre-authorization from your health plan, your doctor's office will put a request into your health plan to get approval to perform the service or for the pharmacy to fill the prescription.

Submit claims to GSC online, for instant adjudication. Assign payment directly to yourself bychequeor to your bank account by direct deposit. Alternatively, you can have the plan member pay you directly and then notify us to pay the plan member.

If you think your drug may require a prior authorization, call your insurer directly to confirm.

What is prior authorization? This means we need to review some medications before your plan will cover them. We want to know if the medication is medically necessary and appropriate for your situation. If you don't get prior authorization, a medication may cost you more, or we may not cover it.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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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