Here Denied Claim For Authorization In Alameda
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FAQ
You should contact the Compliance Department promptly by one of the following methods: Send an email via AHS global address “Compliance AHS” • Call the Compliance Department at 510-535-7788; or • Call the Compliance Hotline 844-310-0005, including reporting concerns anonymously.
For provider enrollment information visit our website at .alamedasocialservices and follow the directions for the Provider Enrollment Process, or call (510) 577-1877.
For any questions or information regarding Medi-Cal health plans, visit or call a Health Care Options (HCO) representative at 1-800-430-4263.
To submit a medical prior authorization: Login Here and use the Prescription Drug Prior Authorization or Step Therapy Exception Request Form (No. 61-211) – English (PDF).
All out of network services (excluding ER and family planning) require prior authorization.
Drugs That May Require Prior Authorization Drug ClassDrugs in Class Benlysta Benlysta Bimzelx Bimzelx Botox Botox Branded Riluzole Products Exservan, Tiglutik Kit241 more rows
A denied prior auth request can occur when a provider's office submits a wrong billing code, misspells a name or makes another clerical error. Requests can also be denied if the prior auth request lacks sufficient information about why the medication or treatment is needed.
