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 Form 470 2965  Iowa Medicaid Enterprise  Ime State Ia 2012

2012-2025 Form

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Instructions and help about Form 470 2965 Iowa Medicaid Enterprise Ime State Ia

hi I'm Pam I'm a dental hygienist with Iowa Medicaid and I'm here today to give you some tips on how to fill out your prior authorization form to help the process go smooth for you and for us tip number one when filling out the prior authorization form the following must occur in order for the prior authorization to be processed the providers NPI number and the procedure codes must be the same as the ones that are going to be used on the claim for billing in box thirteen there must be a detailed treatment plan for the requested services and include all the necessary documentation also the treating provider must sign in date box 23 tip number two when filling out your request please refer to the provider manual for the requirements of your requested procedure if it does not meet these requirements it will not be approved tip number three prior authorization is not a guarantee of payment prior to doing the service please call the elds line at 803 three eight seven

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Related searches to Form 470 2965 Iowa Medicaid Enterprise Ime State Ia

Form 470 2965 iowa medicaid enterprise ime state ia download
Iowa Medicaid Provider portal
iowa medicaid form 470-2965
Iowa Medicaid Provider types
Iowa Medicaid Enterprise phone number
Iowa Medicaid Provider Enrollment Portal
Iowa Medicaid Provider Enrollment Application
iowa medicaid form 470-4202

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