Get How Long Does Pre Authorization Take Amerihealth

This guide provides a comprehensive overview of filling out the How Long Does Pre Authorization Take Amerihealth form online. Following this step-by-step process will help ensure that your submission is accurate and complete, facilitating a timely response to your request.

Follow the steps to fill out the form correctly.

1. Press the ‘Get Form’ button to access the pre authorization form and open it in your preferred document editor.
2. Carefully review the form to understand all the sections that need to be completed. Start with the 'Drug Requested' section, where you will check the box next to the medication you are requesting: Voltaren gel®, ®, ®, ER®, Flector patch®, ®, or ®.
3. In the next section labeled 'Date', fill in the current date of your request.
4. Complete the 'Patient ID#,' 'DOB,' and 'Patient Name' fields. Make sure the information provided is accurate to avoid any delays.
5. Enter the provider NPI, and fill out the prescribing physician's name, along with the office contact details, including fax number and phone number.
6. Proceed to the 'Diagnosis for Drug Requested' section. Select the appropriate diagnosis from the list, or specify 'Other' if applicable.
7. For the 'Medication History' section, list any previous or current therapy related to the diagnosis, specifying the drug names and dates. If there are no relevant therapies, indicate ‘N/A’.
8. If the request is for or , complete the 'Patient History' section by providing the duration of any prior use of these medications. Additionally, answer the allergy and concurrent treatment questions with 'Yes' or 'No'.
9. Include any other supporting medical information that could aid in the decision-making process regarding the pre authorization request.
10. Finally, ensure all sections are fully completed. Submit the form by faxing it to the designated number (888-671-5285). After submission, your office will receive a response via fax or mail.

Complete your pre authorization request online today and ensure a smooth process!