Craig Knox Nothing to say
  • Is the call a request for a new authorization? Yes.
  • Does the member have Medicare primary? No. Yes.
  • Provider must submit a denial from Medicare with clinical before we will do an authorization..
  • Is this for an emergency admission? No. Yes.
  • Build auth shell and have the provider submit the form and clinical via fax number on form. Check filenet for the paperwork..
  • YAY.

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