Prior Authorization Frequently Asked Questions

How can I complete a prior authorization request for two or more procedures, such as a colonoscopy and endoscopy, via My Insurance Manager?

You cannot complete a prior authorization request for more than one service on a single entry using My Insurance ManagerSM. Once you have chosen your request type and select one service, you will continue through the remaining prior authorization request screens to completion. At that time, you may begin a second request.

How can I have diagnoses added to the Fast Track Request Option in My Insurance Manager?

Contact Provider Relations and Education to have a diagnosis-procedure combination considered for adding to the Fast Track Request Option in My Insurance Manager.

When I call the Plan to get a DME prior authorization I'm told the member's plan does not require an authorization for the item. When the claim is filed, however, it is denied for no authorization. Why?

Always verify benefits and eligibility to find out if an item requires prior authorization. Generally, an authorization number is required for DME supplies over $500.

How can I edit the default diagnosis code when requesting a prior authorization for a procedure via the Fast Track Request Option?

Users are unable to edit the diagnosis code when using the Fast-Track Request Option. You can do this using the Customized Authorization Request Option. My Insurance Manager defaults to a standard diagnosis for Fast Track Request Options but it does not prevent the requestor from gaining an authorization number.

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