Get 2015 Today's Options Authorization Request Form - Provider ...

Filling out the 2015 Today's Options Authorization Request Form is a crucial step for providers seeking authorization for medical services. This guide provides a comprehensive overview of each section of the form, ensuring users can complete it accurately and efficiently in an online format.

Follow the steps to complete the form effectively.

1. Click the ‘Get Form’ button to access the document, which will open for your review and completion.
2. Begin by filling in the patient’s information. Provide the patient's name, date of birth, and member ID number. Ensure all data is accurate to avoid processing delays.
3. Indicate the type of authorization request by selecting either 'Routine' or 'Expedited' based on the urgency of the member's health condition.
4. Complete the referring physician's details, including their name, address, and contact information. This information is essential for any follow-up or clarification needed by the authorization team.
5. List the requested services by checking the appropriate boxes for outpatient surgery, consultations, and any other necessary services. Additionally, include a description of the requested procedure and associated diagnoses.
6. After filling out all required sections, review the entire form for completeness and accuracy. Make sure all necessary signatures and information are included.
7. Once you have verified all entries, save your changes, and you can then choose to download, print, or share the completed form as needed.

Complete your documents online today for a smoother authorization process.