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Get Alberta Blue Cross Special Authorization

// SPECIAL AUTHORIZATION REQUEST FORM Patients may or may not meet eligibility requirements as established by Alberta Government sponsored drug programs. Please complete.

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How to fill out the Alberta Blue Cross Special Authorization online

Completing the Alberta Blue Cross Special Authorization form is essential for patients seeking coverage for specific medications. This guide will provide you with clear, step-by-step instructions to successfully fill out the form online, ensuring a smooth submission process.

Follow the steps to complete the form accurately and efficiently.

  1. Click ‘Get Form’ button to obtain the Alberta Blue Cross Special Authorization form and open it in an accessible editor.
  2. Fill in the 'Patient Information' section. Enter the patient's last name, first name, coverage type, date of birth, and Alberta personal health number. Provide the street address, city, province, and postal code.
  3. In the 'Identification/Client/Coverage No' field, enter the appropriate identification or client number.
  4. Complete the 'Prescriber Information' section. Fill in the prescriber's last name, first name, initial, street address, and registration details, including their professional association and registration number.
  5. Provide the prescriber's phone number, fax number, city, province, and postal code, ensuring the fax number is included for submission.
  6. Select the drug being requested by checking the appropriate box under 'Drug Requested'. Depending on the choice, complete the relevant sections (I, II, and/or III) accordingly.
  7. For Section I, answer the questions regarding the patient's condition: does the patient have non-valvular atrial fibrillation? Provide details related to use and any contraindications.
  8. If applicable, complete Section II for requests concerning treatment of venous thrombotic events.
  9. Fill out Section III if the request is for prophylaxis following elective total hip or knee replacement surgery.
  10. Review all information for accuracy. Once verified, the prescriber must sign and date the form.
  11. After completing the form, submit your request according to the provided instructions and ensure that it is transmitted only once.

Start filling out the Alberta Blue Cross Special Authorization form online today for timely processing.

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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.

Call Alberta Blue Cross® Customer Services at 780-498-8000 (Edmonton and area), 403-234-9666 (Calgary) or 1-800-661-6995 (toll-free from anywhere else in Alberta).

Overview. The Government of Alberta provides seniors with premium-free coverage for prescriptions drugs and other health-related services not covered under the AHCIP. Alberta Blue Cross administers the Coverage for Seniors program and claims. AHCIP manages eligibility and registration.

Special authorization benefits Special authorization is a mechanism to provide access to certain drugs ing to defined clinical criteria. Special authorization request forms are completed by physicians and reviewed by clinical pharmacists. Prior approval must be granted to ensure coverage by special authorization.

For plan details, refer to your benefits booklet or talk to a Customer Services representative at 780-498-8000 (Edmonton) or toll free 1-800-661-6995 (all other areas). Regular office hours are Monday to Friday 8:30 a.m. to 5 p.m. Mountain Time.

We're licensed by the Canadian Association of Blue Cross® Plans which means we meet their standards and submit to annual reviews. We also have a working relationship with the American Blue Cross and Blue Shield Association and their member companies.

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