Get Novologix Prior Authorization Form

This guide provides comprehensive instructions for completing the Novologix Prior Authorization Form online. Follow these steps to ensure accurate and efficient submission of your prior authorization requests.

Follow the steps to successfully fill out the form

1. Press the ‘Get Form’ button to access the Novologix Prior Authorization Form and open it in the designated application.
2. Begin by entering the patient's HMSA Member ID in the Quick Start section to search for existing authorizations that you can copy.
3. If you do not find an existing authorization, enter the Member ID in the Search for Existing Patient field and click Search to locate the patient record.
4. Once you identify the patient, confirm or edit the patient details in the Patient Detail section. After completing this section, select the next button.
5. Fill out all required fields in the Authorization Detail section, where mandatory fields are marked with a red asterisk. Once finished, select next.
6. In the Authorization Lines section, enter the service dates, drug name or NDC in the respective fields. Add any applicable additional information, and then select next.
7. Review all entered information under the Authorization Detail Screen. If everything is correct, proceed by selecting the submit button.
8. Complete any protocol questions that appear. Your authorization may be auto-approved or sent for clinical review. Once you see the outcome, click done to finalize.
9. If needed, you can add additional notes by selecting Add Note and saving your input.
10. To upload any required documents, click on Add Document, select the file, rename it if necessary, and click Upload to attach the document.
11. After submitting the form, you can save changes, download, print, or share the completed form as needed.

Start filling out your Novologix Prior Authorization Form online now.