The SelectHealth Request for Preauthorization Form Intermountain Intermountainphysician
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People also ask
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How does pre-authorization work?
A pre-authorization is a restriction placed on certain medications, tests, or health services by your insurance company that requires your doctor to first check and be granted permission before your plan will cover the item. -
What is a prior authorization and why do you need it?
Prior authorization—sometimes called precertification or prior approval—is a health plan cost-control process by which physicians and other health care providers must obtain advance approval from a health plan before a specific service is delivered to the patient to qualify for payment coverage. -
What does it mean to need a prior authorization for a medication?
Prior authorization requires the prescriber to receive pre-approval for prescribing a particular drug in order for that medication to qualify for coverage under the terms of the pharmacy benefit plan. -
How many lives does SelectHealth cover?
SelectHealth is a non-profit health plan serving more than one million members in Utah, Idaho, and Nevada. We are committed to helping our members and everyone in our communities stay healthy. In fact, we share a mission with Intermountain Healthcare: Helping people live the healthiest lives possible. -
How do I submit a reimbursement to SelectHealth?
If you want to submit a claim to SelectHealth, rather than the provider submitting the claim for you, you may fill out a Claim Reimbursement Form. Follow the instructions on page 2. Generally, claims must be submitted within one year from the date of service, though longer time limits do exist in certain circumstances. -
Is SelectHealth the same as Intermountain Healthcare?
What differentiates SelectHealth from many other health plans? As a not-for-profit subsidiary of Intermountain Healthcare®, we are committed to a shared mission of “Helping People Live the Healthiest Lives Possible.” What does that mean for providers? -
What is an example of pre-authorization?
For example, your health plan may require prior authorization for an MRI, so that they can make sure that a lower-cost x-ray wouldn't be sufficient. The service isn't being duplicated: This is a concern when multiple specialists are involved in your care. -
What is pre treatment authorization?
A decision by your health insurer or plan that a health care service, treatment plan, prescription drug or durable medical equipment is medically necessary. Sometimes called prior authorization, prior approval or precertification.
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