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LA Healthcare Connections Prior Authorization Form 2014
Get LA Healthcare Connections Prior Authorization Form 2014-2024
SPECIALTY MEDICATION PRIOR AUTHORIZATION FORM Complete this form and send information to US Script, IBM for Louisiana Healthcare Connections Fax to 18556786976 For questions, pl ease call 18889293790.
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Dissemination FAQ
Your provider can tell you if a service needs a Prior Authorization. You can also call Member Services at 1-866-595-8133 (TTY: 711) to see if something needs Prior Authorization. We will let your provider know if the service is approved or denied.
Louisiana Healthcare Connections provides the same benefits as Medicaid, plus more. In this section, you can learn about the health benefits, pharmacy services and value added services Louisiana Healthcare Connections offers.
Your provider can tell you if a service needs a Prior Authorization. You can also call Member Services at 1-866-595-8133 (TTY: 711) to see if something needs Prior Authorization.
Louisiana Healthcare Connections provides the same benefits as Medicaid, plus more. In this section, you can learn about the health benefits, pharmacy services and value added services Louisiana Healthcare Connections offers.
Our Provider Services Customer Call Center can answer provider questions, including verification of eligibility, authorization, claim inquiries and appeals. Call our Louisiana-based provider services team at 1-866-595-8133, Monday through Friday, 7a. m. to 7p.
Louisiana Healthcare Connections Attn: CLAIMS PO Box 4040 Farmington, MO 63640-3826 、Provider/claims information via the web: .
A number, code, or other value that indicates the services provided on this claim have been authorized by the payee or other service organization, or that a referral for services has been approved. (Also called Prior Authorization or Referral Number).
Authorization Process Some helpful tips when submitting a SAR: Providers must request CCS services using a SAR form. Note: Providers should verify CCS eligibility before submitting a SAR. Providers are required to submit documentation to substantiate medical necessity at the time the SAR is submitted.
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