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PRIOR AUTHORIZATION REQUEST FORM EOC ID EIC PA

PRIOR AUTHORIZATION REQUEST FORM EOC ID EIC PA

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welcome to the access fee for service provider training presentation how to submit a prior authorization request getting started what information do you need to complete your pa request the access member id the service rendering provider id the begin and end dates of service icd-10 diagnosis code cpt or hickpit code the total units by each service and modifiers if applicable there are four steps to create and submit a fee-for-service pa request step one is the case search step two case list step three event list and step four activity list sign into the access online provider portal enter your username and password and click the sign in tab the access online provider portal main page will appear select the prior authorization submission tab this will direct you to the welcome to the feed for service prior authorization web portal page on the welcome page scroll down to the bottom of the page and select the tab prior authorization submission the pa recipient case search page will open c

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