Prior Authorization

Forms and resources for prior authorization

20 resources in this category

MRI Prior Authorization Request Guide

Guide to obtaining prior authorization for MRI scans including required clinical documentation and common approval criteria.

Guide

Surgery Prior Authorization Checklist

Comprehensive checklist of documentation needed for surgical prior authorization across major insurance carriers.

Checklist

Specialty Drug Prior Authorization Guide

How to navigate the prior authorization process for specialty and biologic medications including supporting documentation.

Guide

CT Scan Prior Authorization Request Guide

Guide to obtaining prior authorization for CT scans with clinical justification templates and insurer-specific requirements.

Guide

PET Scan Prior Authorization Guide

How to get prior authorization approved for PET scans, including oncology staging and restaging indications.

Guide

Inpatient Admission Prior Authorization Guide

Guide to obtaining prior authorization for planned hospital admissions including InterQual and Milliman criteria.

Guide

Physical Therapy Prior Authorization Template

Template for requesting prior authorization for physical therapy sessions with functional assessment documentation.

Template

Mental Health Treatment Prior Authorization Guide

Guide to prior authorization for mental health services including inpatient, residential, and intensive outpatient programs.

Guide

DME Prior Authorization Checklist

Checklist of documentation required for durable medical equipment prior authorization including letter of medical necessity.

Checklist

Home Health Prior Authorization Guide

How to obtain prior authorization for home health services including skilled nursing, PT, OT, and home health aide hours.

Guide

Genetic Testing Prior Authorization Guide

Guide to prior authorization for genetic and genomic testing with clinical criteria and supporting evidence requirements.

Guide

Urgent Prior Authorization Request Template

Template for requesting expedited or urgent prior authorization when standard timelines would jeopardize patient health.

Template

Peer-to-Peer Review Preparation Guide

How to prepare for a peer-to-peer review call with the insurance company's medical director after a prior auth denial.

Guide

Letter of Medical Necessity Template

Comprehensive template for physicians to write letters of medical necessity supporting prior authorization requests.

Template

Prior Authorization Tracking Worksheet

Worksheet to track prior authorization submissions, reference numbers, deadlines, and follow-up actions.

Worksheet

Radiation Therapy Prior Authorization Guide

Guide to obtaining prior authorization for radiation therapy including IMRT, proton therapy, and stereotactic radiosurgery.

Guide

Knee Replacement Surgery Prior Auth Guide

Prior authorization guide for total and partial knee replacement surgery with required conservative treatment documentation.

Guide

Spinal Surgery Prior Authorization Guide

Guide to obtaining prior authorization for spinal surgeries including fusion, laminectomy, and disc replacement.

Guide

Bariatric Surgery Prior Authorization Guide

Prior authorization requirements for bariatric surgery including supervised diet documentation and psychological evaluation.

Guide

Sleep Study Prior Authorization Guide

How to obtain prior authorization for polysomnography and home sleep tests with clinical indication documentation.

Guide
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