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PRIOR AUTHORIZATION for ANESTHESIA SERVICES 2021

Prior Authorization Anesthesia 2021-2025 Form

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Instructions and help about PRIOR AUTHORIZATION For ANESTHESIA SERVICES

Hello. Are you submitting requests for expedited review of prior authorizations? Recently, we're receiving submissions of prior authorization requests that are marked as expedited which do not contain the proper justification showing that the standard review time frame would not be appropriate. The standard review time frame is within 10 business days. Please be aware, that requests will be processed as expedited only in cases where the standard time frame for making a decision could seriously jeopardize the life or health of the beneficiary. The time frame for expedited review is within two business days. If we determine a request does not substantiate the need for an expedited review, you will receive notification that a decision will be rendered within the standard time frame. CMS and your contractors believe that there would be very few times that the services that are selected for the prior authorization process

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for PEHP 2022

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for PEHP 2021

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for PEHP 2016

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