WebUse the Magellan Healthcare Fax Coversheet when faxing clinical information. The OCR fax coversheet allows users to attach the clinical information submitted from the … WebThe methods for sending a clinical fax include the following: • Compose a new fax from the Message Center tab. Using the Message Center tab, you can easily compose and send …
Submitting Admission Notification, Prior Authorization Requests and
WebAnswer the following questions and fax this form to the number listed below within 30 business days or the request will be automatically denied. Please note any information left blank or illegible may delay the review process. Clinical Prior Authorization Request Form Fax back to this number 888-518-7328 Patient Provider Patient ID Provider ... WebA: Yes. Depending on the answer that is selected, the case will either follow a specific clinical pathway to the next question or will reach a determination. These are interactive questionnaires; action is taken (or triggered) by the eviCore system based on the response selected. The response to one question prompts the commonwealth hilton
naviHealth Contact Information
WebPrecertification Request. Clinical Update Request. Welcome to the Meritain Health benefits program. **Please select one of the options at the left to proceed with your request. PLEASE NOTE: The Precertification Request form is for provider use only. WebFax numbers When working with naviHealth, you may be asked to fax clinical documentation . via fax. Please use the following fax numbers for authorization related requests: DESCRIPTION OF USE Toll-Free Fax Number General Authorization Requests, Prospective . 1-844-496-7206 . WebCarelon will provide you with the fax number to use: Clinical notes; X-ray report; Previous CT/MRI report; Specialist reports/evaluations; Ultrasound reports; If a peer-to-peer review is required, the ordering physician or an office staff member can discuss any additional medical information with an Carelon physician reviewer by calling 866-972 ... duck toad