Get Geisinger Prior Auth Form

Filling out the Geisinger Prior Auth Form online is a straightforward process that ensures your requests for authorization are properly documented. This guide will provide clear instructions for each section of the form, facilitating a seamless experience.

Follow the steps to successfully complete the form

1. Click ‘Get Form’ button to obtain the Geisinger Prior Auth Form and view it in your preferred editor.
2. Begin by filling out the patient information section. Include the patient's name, date of birth, address, member number, city/state, and ZIP code.
3. Next, provide details about the requesting provider. Enter the names, addresses, phone numbers, and fax numbers of both the requesting provider and the service provider. Make sure the information is accurate.
4. In the appointment information section, specify the date of the procedure, the estimated length of stay if applicable, the diagnosis code, and the procedure code.
5. Fill in the facility or hospital information if applicable, providing the name and address.
6. In the indication of procedure narrative section, please attach all necessary medical necessity information, including medical records that support the request.
7. Finally, review all information for accuracy, then save any changes made. You can choose to download, print, or share the completed form as needed.

Complete the Geisinger Prior Auth Form online today to ensure your healthcare needs are met.