Submitting a Prior Authorization Request
To receive approval for a PA request, you must submit a
complete request using one of the approved submission forms. This section
describes how to submit online and paper PA requests, and includes the
following sections:
• Submitting PAs (278 Health Care Services Review-Request
for Review and Response) using Provider Electronic Solutions
• Submitting Paper PA Requests
Submitting PAs Using Provider Electronic Solutions
Beginning December 1, 1999, you can submit electronic PA
requests using HP Provider Electronic Solutions software, available to you at
no charge. If you already use this software, you will be mailed an upgrade; if
you do not currently use the software, but would like to order a copy, refer to
Appendix B, Electronic Media Claims Guidelines, for contact information. The
electronic
278 Health Care Services Review- Request for Review and
Response claim is not limited to the use of the Provider Electronic Software.
Providers may use other vendor’s software to submit a 278 electronic claim.
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