Get Prior Authorization Form - Sun Life Financial

This guide provides clear and comprehensive instructions for completing the Prior Authorization Form for Sun Life Financial online. By following these steps, users can ensure their request is submitted accurately and efficiently.

Follow the steps to complete your Prior Authorization Form online.

1. Click the ‘Get Form’ button to access the Prior Authorization Form. Make sure to download and open the document in your preferred editing tool.
2. Begin filling out the section labelled 'To be completed by plan member.' Provide your contract number, member ID number, last name, first name, and address. You will also need to indicate your gender, preferred language of correspondence, date of birth, daytime phone number, and postal code.
3. Complete the claimant information, which requires the last name, first name, date of birth, and relationship to the plan member. You can select whether the claimant is you, your partner, or your child.
4. In the authorization and signature section, affirm that the information you provided is true and complete. You will need to sign and date this section to authorize Sun Life to process your application.
5. Next, the prescribing physician must complete their section, which includes providing their last name, first name, specialty, telephone number, address, and the specific details of the prescribed medication, including drug name, strength, and dosage.
6. The physician must check the applicable criteria for reimbursement eligibility regarding , ensuring that the patient meets at least one of the listed conditions.
7. Finally, the prescribing physician must sign and date their section of the form to validate it.
8. Once the form is fully completed, you can save the changes, download, print, or share it as needed before mailing or faxing it to the specified claims office.

Complete your Prior Authorization Form online today to ensure your request is processed promptly.