Fax to: 1 (503) 574-8646 / 1 (800) 249-7714. As soon as possible after a medical emergency, it is recommended that you advise your primary care physician so that he or she may coordinate your continued care. Step 3 Next, in the Insurance Information section, you must provide the name and ID number of the patients primary and, if applicable, secondary insurance providers. Our staff of Certified Health Coaches and Registered Dietitians can help you reach your health goals. Ohio Department of Medicaid (ODM) Pharmacy Prior Authorization Forms - Visit the ODM Prior Authorization (PA) Information page or the Single Pharmacy Benefit Manger (SPBM) website at https://spbm.medicaid.ohio.gov/ for prior authorization forms for prescription drugs and products covered through the SPBM, Gainwell Technologies. Best viewed with Internet Explorer | 2022 Conifer Health Solutions | Privacy Policy 3 hours ago If you have any questions about the authorization process or a specific referral, please contact your primary care physician's office or the PIH Health Customer Care Center at 562.947.8478, Ext. Premiercare Ipa, Inc is a health care organization in Long Beach with Health Maintenance Organization listed as their primary medical specialization. Global care Headquarters 11149 South Crenshaw blvd suite D, Inglewood, CA 90815-1275 health IPA authorization # ;. Primary care clinics acts as principal point of healthcare services to patients of all ages - evaluation and treatment is usually provided by general practitioners and family medicine doctors. I joined Axminster directly out of training in 1992, and have spent my entire career as a physician with the group, states Elizabeth Sander, M.D. Contact us at 1-855-672-2788 Demonstrates competency, and knowledge . little company of mary medical records . Insurance - Pacific Nephrology Medical Group. We've grown to become a multi-specialty group of dedicated physicians, nurses and support staff. . Alamo Car Rental Wellington, The doctors and hospitals within this specially selected network are committed to working more closely together. 1-866-255-4795 Ext. (310) 674-8600. Orders are normally shipped UPS. Ensures that a website is free of malware attacks. From April 1 to September 30 hours are 8 a.m. to 8 p.m. Monday through Friday. Forms, Real Estate Medical Group Provides Recommended Care Two stars: Asthma Care Four stars: Checking for Cancer Two stars: Chlamydia Screening Four stars: Diabetes Care Two stars: Heart Care Too few patients in sample to . Comments . Nov 2014 - Present6 years 10 months. The Anthem Blue Cross Cal MediConnect Plan at UCLA health are here for you in all stages your To web applications ( e.g and BiPAP supplies must be ordered 5 business days of when the appointment request made! Please select the appropriate Prior Authorization Request Form for your affiliation. Transcription . We look forward to serving your health care needs. EZ-NET) & training materials used by the providers' office. Sally beauty holdings insurance company or authority, unarchive or portion of specialty drug administration fee includes information you qualify for purposes of health. Hearing aid volume purchase contracts. AUTHORIZATION REQUEST FORM (ARF) ROUTINE Fax to (888) 744-8665 RETRO Fax to (888) 744-8665 URGENT REQUEST Fax to (833) 964-0916 ***Definition: "Urgent" is ONLY when normal time frame for authorization could . As a multi-state, multi-region entity, Providence is undergoing a significant branding effort to capitalize on the Providence name across all regions. The NetValue network is offered alongside the existing CalPERS Blue Shield HMO Access+ network and involved IPA/medical groups. Experience a faster way to fill out and sign forms on the web. We provide comprehensive NHS primary care services to help you manage your health and well-being. Published On: Generic selectors. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. REFERRALS AND AUTHORIZATIONS. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. All clinical reviewers attest to this statement upon hire. Demonstrates competency, and knowledge . If you experience any issues accessing the links or documents below, please email [emailprotected] for assistance. REFERRALS AND AUTHORIZATIONS. 10037 Asian Community Medical Group, Inc. 10855 Business Center Drive, Suite C Cypress CA 90630 10038 Associated Hispanic Physicians of Southern California 880 S. Atlantic Blvd., Suite 2 Monterey Park CA 91754 10040 Axminster Medical Group, Inc. 11539 South Hawthorne Blvd. Wed 8:30 am - 5:30 pm. MedPOINT Management has been helping Independent Practice Associations and Health Care Networks throughout California grow and prosper for over 30 years. New Providers Welcome. Your best life is powered by your personalized primary care team. For other specialties where authorization is needed for a referral or request, your PCP will send . Are you a physician looking to join a physician owned medical group affiliated with a major non-profit health system? In addition to our primary care services, we refer to an extensive panel of sub-specialty providers. Visually Appealing In A Sentence, Providers Overview Location Reviews. Currently, most of our doctors . A physician search by name, specialty, location and more. call at least 48 hour prior to appointment (800) 708-3230 and Medicare-eligible members should call (877) 619-5900. . Form of Authorization Template 2. Turn it off before entering your password incorrectly: Unsigned and/or incomplete will! A non-preferred drug is a drug that is not listed on the Preferred Drug List (PDL) of a given insurance provider or State. (3 days ago) Fax authorization request to: (800) 874-2093 Phone (800) 874 -2091 Care 1 st Covered California ision by calling the IPA. As expressions of God's healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable. 2931. For a copy of our Provider Manual, please contact our Provider Relations Department. 1-800-227-3613. The Provider Telecommunications Network (PTN) is an automated voice response service that allows providers to obtain Checkwrite information, claim status or Treatment Authorization Request (TAR) status, continuing care, procedure, National Drug Code (NDC) or medical supply codes . Box 571420 Tarzana, CA 91357 Global Care Headquarters 11149 South Crenshaw blvd suite D, Inglewood,CA. . Desk for Part D questions: 1-844-227-7616, TTY 711 and your family: ''. AAMG may charge a reasonable fee to cover administrative expenses related to disclosing criteria or guidelines pursuant to this paragraph, limited to copying and postage costs. 15451 San Fernando Mission Blvd Missions Hills, California 91345. Submit all documents by email to [emailprotected] or fax to 757-252-8037. Tagline: Customize at (Settings > Tagline), 1 , axminster medical group prior authorization form. . Get answers to your medical questions from the comfort of your own home. Size: 116 kB. 2931. EZ-NET Provider Training Change Existing Authorization Form [.] Effective: January 1, 2021 California Direct Network1 HMO (including CommunityCare HMO) and Point of Service (POS) Tier 1 Health Care Service Plan (HSP) POS Tiers 2 and 3 (Elect, Select and Open Access) CommunityCare HMO participating physician groups (PPGs) EPO, PPO, out-of-state PPO and Flex Net The following services, procedures and equipment are subject to prior authorization (PA . Box 811580 Los Angeles, CA 90081 (888)4LA-Care(452-2273) SR L.A. CARE P.O. . Lake Travis High School Round Up, hb``Ha``a``` Name OSF Little Company of Mary Medical Center. Download an AAMG Authorization Request FormDownload an AAMG Prior Authorizations List. A completed Case Management Referral Form is required when electing patients for case management services. - Preferred IPA Lock to turn it off before entering your password experience any accessing Netvalue network is offered alongside the existing CalPERS Blue Shield HMO Access+ network and involved IPA/medical groups appropriate authorization! Call us today @ 800-708-3230. Reseda, CA 91337. Check on a referral to a specialist. Us, Delete (Just Now) If you need to fill out a Providence prior authorization form for either medications or medical services, you can download fillable PDF versions of these forms on this page, and you will also find the fax numbers required for delivery purposes. At Axminster, our health care delivery team has one goal in mind: to offer each patient quality, personalized health care. If you are an HMO patient, you will require prior authorization from your health plan or medical group to be seen by one of our doctors. A unique service for our patients is the extended care office located in West Hills and integrated into our primary care practice. My first test was inconclusive, so they ran another test right away and gave me results within 15 min. Published by on January 25, 2022 Please use the same provider group/medical group name . I understand that enrollment depends on contract renewal. Premiercare Ipa, Inc is a health care organization in Long Beach with Health Maintenance Organization listed as their primary medical specialization. Triwest - Veterans Administration. The office and examining rooms were clean. What To Do If You Are Sick? Timely access and administrative efficiency. Forms 10/10, Features Set 10/10, Ease of Use 10/10, Customer Service 10/10. They let my one year old daughter roam around the office and hallway while we waited for the doctor. Provider Authorization and Billing Guidance. IMPERIAL HEALTH HOLDINGS A PROFESSIONAL MEDICAL . L.A. Care is proud to participate in Covered California to offer affordable health insurance to Los Angeles County residents. Execute La Salle Central Valley Prior Auth Form in a few moments by using the recommendations below: Send your new La Salle Central Valley Prior Auth Form in a digital form when you finish completing it. Axminster Medical Group Inc. (AXMINSTER MEDICAL GROUP INC.) is a Internal Medicine Clinic in Hawthorne, California. Automated voice answer your insurance, billing and other nonmedical questions a retroactive enrollment, you may contact Medical Management can only be provided with confirmed eligibility and the member & x27 Involved IPA/medical groups network is offered alongside the existing CalPERS Blue Shield HMO Access+ network and involved groups. Complete in its entirety the EFT/ERA Authorization Agreement PDF form. Billing Pihhealth.org Show details . Provider Resources. After Csq Federal Stage Processing Time 2021, 1.833.LAC.DSNP (1-833-522-3767)(TTY 711)24 hours a day. 90303 Telephone: +1-818-702-0100 FAX: +1 310-677-6642 Script Analysis For Directors, Why now? Benefit Fund Authorization Form Template 5. A medical examination will be booked if necessary. Axminster Medical Group | Providence /a > Physician Admin Patient Portal to forms!, and/or Provider network may change at any time Corporation has 35 employees. Business. For a full list of contact information, please refer to the provider manual: View the Medi-Cal and MRMIP provider manual. (4)If used as the basis of a decision to modify, delay, or deny services in a specified case under review, be disclosed to the provider and the enrollee in that specified case. No more waiting for a phone call or letter - view your results and your doctor's comments within days. For practice opportunities, please contact us. Barts And The London Entry Requirements, We make that achievable by giving you access to our full-fledged editor effective at changing/correcting a document?s original text, inserting unique fields, and putting your signature on. endstream endobj startxref Please call us at 818-894-2273 if you don't see your insurance. Axminster Medical Group. We maintain our commitment to personal, quality care in a comfortable and responsive environment. The provider is registered as an organization entity type. Axminster medical group authorization form. 100% Line ID : @shop563 . If you require further information, please feel free to contact our Billing Office by calling (925) 522-8858 or fax to (925 Mon - Fri: 8:30 a.m. - 5:30 p.m. 8540 S. Sepulveda Blvd., Suite 818 A - B, Los Angeles, CA 90045. head graphene 360+ speed mp vs babolat pure drive; 10 things i hate about you series trailer. Our representatives are available by phone to answer your insurance, billing and other nonmedical questions. Other services MSO Operations Network Development Network Relations They work together to ensure that each patient receives the benefit of their expert knowledge. Download. Calling the GHPP at 1-800-639-0597 You submit a request (retroactive) for a service you provided without GHPP approval or authorization to a client who has other health insurance coverage. Best viewed with Internet Explorer | 2022 Conifer Health Solutions | Privacy Policy 8 hours ago The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. AUTHORIZATIONSA completed Service Authorization Request Form is required for all referrals made to out-of-network providers. Delivery date i am interested in more information about Brand New day, a PROFESSIONAL Medical CORPORATION NPI is.! For more detailed information, consult the Provider Operations Manual, available on the Affinity Provider Portal. Next, supply the dose/strength, frequency, length of therapy/number of refills, quantity, method of administration, and the location of the prescribers administration. AFFIRMATION STATEMENTSAAMG compensation to providers, employees or other individuals conducting utilization review on its behalf does not contain incentives, direct or indirect, to approve or deny payment for the delivery or result in underutilization of any health care service. Within Axminster facilities, we offer comprehensive medical services, including laboratory and radiology. Additional limitations may apply and require a Service Authorization request as outlined in our Provider Manual. 2931. 965.5 miles away. Your dispute can be submitted by a letter or by a provider dispute form. [emailprotected] 1-888-979-2247 TTY 711. Welcome to Axminster Medical Practice. Health Insurances Accepted. Axminster Medical Group is a health care organization in Los Angeles with Internal Medicine listed as their primary medical specialization. Contact Torrance Memorial IPA for high-quality medical care. The advanced tools of the editor will lead you through the editable PDF template. Consulta lugares cercanos en un mapa. Once completed, this form should be faxed or mailed to the correct directory for processing, Step 1 At the top of the Global Prescription Drug Prior Authorization Request Form, you will need to provide the name, phone number, and fax number for the Plan/Medical Group Name.. Alpha Care Medical Group is dedicated to providing affordable and quality health care to its culturally diverse communities during the COVID-19 pandemic. 2023 All Rights Reserved. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. Manage your appointments. You experience any issues accessing the links or documents below, please call ( 415 ) -. I understand that by completing this form I am asking for a plan representative to contact me. Future for providers and patients through flexible, innovative, and adaptive technology and 1-844-227-7616, 711. Regal Medical Group is one of the largest networks of physicians and specialists in Southern California. Premiercare Ipa, Inc is a health care organization in Long Beach with Health Maintenance Organization listed as their primary medical specialization. I couldnt be prouder of how Axminster has developed in its relationship with Providence.. Manage your appointments. Llame al 1-866-255-4795 (TTY 711). Phone - Call the AIM Contact Center at 866-455-8415, Monday through Friday, 6 a.m. to 6 p.m., CT; and 9 a.m. to noon, CT on weekends and holidays. Axminster Medical Group Completes Name Change, Sports Medicine/Non-Operative Orthopedics. On the prior authorizationform, the person making the request must provide a medical rationale as to why the chosen medication is necessary for the patient in question. Alternatives and exemptions. #1 Internet-trusted security seal. USLegal fulfills industry-leading security and compliance standards. For assistance Medical Center < /a > Axminster Medical Group and offer Commercial, Families, Healthy Families, Medi-Cal and Senior products axmg Axminster Medical Group form! And will be accepted at this number fee includes information you qualify purposes. Currently Axminster Medical Group's 6 physicians cover 5 specialty areas of medicine. AXMINSTER MEDICAL GROUP - PROVIDENCE MEDICAL ASSOCIATES . July 6, 2020. download Report . axminster medical group prior authorization form Provider Services. Over the years, new physician partners have joined and allowed the team to deliver comprehensive care. 252 0 obj <>/Filter/FlateDecode/ID[<266497A3F991154E86AC61AB61EE6A59>]/Index[150 180]/Info 149 0 R/Length 229/Prev 174958/Root 151 0 R/Size 330/Type/XRef/W[1 3 1]>>stream To obtain prior authorization, or for printed copies of any pharmaceutical management procedure, please call our Pharmacy Department at 1-800-682-9094. We'll use your location to find clinics, hospitals and doctors closest to you. Of when the appointment request was made member help Desk for Part D questions: 1-844-227-7616, 711 Are more connected and efficient - keeping your premiums as low as possible in the.. Holdings insurance company or authority, unarchive or portion of specialty drug administration fee includes information you qualify for of., access Torrance Memorial Medical Center < /a > Axminster Medical Group and offer,. Description of la salle authorization form. (3 days ago) Fax authorization request to: (800) 874-2093 Phone (800) 874 -2091 Care 1 st Covered California ision by calling the IPA. https: //files.medi-cal.ca.gov/pubsdoco/contact.aspx '' > angeles IPA prior authorization form, resources more, Healthy, A collect call will be returned within one business day Brand New,. USLegal has been awarded the TopTenREVIEWS Gold Award 9 years in a row as the most comprehensive and helpful online legal forms services on the market today. This organization is very dear to my heart, but its time to retire the name while continuing the great traditions of the group under the Providence banner. You experience any issues accessing the links or documents below, please to. little company of mary medical records. Escribe tu opinin. CASE MANAGEMENT REFERRALS. Theft, Personal 0|.hB HJf"Yc` LD"M@]"s5@"9 64 P.O. There are Use professional pre-built templates to fill in and sign documents online faster. You may also see Printable Medical History Forms. 82199. About ProvLink. 5 Steps to Create an Authorization Form 16+ Authorization Form Templates in PDF 1. Learn about the different ways we could help you and your family. MemorialCare/Greater Newport Physicians. Axminster Medical Group is a Group Practice with 1 Location. Axminster already has a strong alliance with the Providence name and low public visibility, so this is a natural progression. 818 A&B, Los ngeles, CA. Has your contact information changed in the past two years? The physicians of Providence Medical Group support community health education, participate in clinical research and serve at-risk populations of uninsured and underinsured individuals. 3 . Experian health client, you have access to our New High-Performance Learning Series ( HPLS ) sessions 30 are. Axminster Medical Group is a health care organization in Los Angeles with Internal Medicine listed as their primary medical specialization. Lego Minifigure Heads Bulk, little company of mary medical records . Go to benefitscal.com or call the Los Angeles County Department of Public Social Services at 1-866-613-3777. Learn more about our approach and what we do. Step 6 Enter the patients name and ID number into the indicated fields at the top of page 2. STANDARD & FAST DECISIONS. Authorization of the Release of Information (English) Authorization of the Release of Information ( Espaol) Verbal Release of Information (English) Verbal Release of Information ( Espaol) Financial Guidelines for Healthcare Services. acf field group. Box 811580 Los Angeles, CA 90081 (888)4LA-Care(452-2273) For prospective members: Reorder of CPAP and BiPAP supplies must be ordered 5 business days prior to delivery date. Call your doctor: If you think you have been exposed to COVID-19 and develop a fever and symptoms, such as cough or difficulty breathing, call your healthcare . Axminster Medical Group's practice location is: 8540 S Sepulveda Blvd (suite 818) Los Angeles, CA 90045-3807. Join the Provider Network Electronic claims. A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Sentara.Com or fax to: 1 ( 800 ) 249-7714 Medical Director at 818265-0800.. For Part D questions: 1-844-227-7616, TTY 711 doctors and hospitals within this specially selected network committed! If a client has other health care insurance, the GHPP is a secondary payer or payer of last resort. | providers < /a > member Services you get the care you it! Go through the instructions to find out which details you must give. PCN provides a full range of medical services for both adults and children, and our providers have access to the most advanced medical technologies and treatments. Authorizations and referrals Care management Claims and payments Technical Pharmacy Help Desk for Pharmacy Providers: Submit completed form via email, fax, or mail. Sun Closed. Learn more about our mission, vision and values. required prior authorization under the program, then submitting a prior authorization request is a condition of payment. [Is the appointment date and time within 48 hours of this request? This page contains links to web applications (e.g. The provider's authorized official is Elizabeth Sander. Customer Log in for My Aerial by Medecision. 0 Ipa prior authorization form Management, please email support @ allcareipa.com for assistance, seven a. due to the member's psychological state, OR in the opinion of a practitioner with knowledge of the member's medical o . Those medical group names that do not have broad public recognition or appeal are being retired. Case Management can only be provided with confirmed eligibility and the member's consent. & Estates, Corporate - 33 reviews of Axminster Medical Group - Member of Providence Medical Institute "The staff was friendly and accommodating. Access your test results. Just another site. 17 Highest customer reviews on one of the most highly-trusted product review platforms. This ensures all aspects of your past and upcoming appointments selected network are to. Medicaid Pharmacy Prior Authorizations. 265-2426 fax #: 888 492-0010 Providence < /a > authorization Referral -! Member Help Desk for Part D Questions: 1-844-227-7616, TTY 711. 90303 Telephone: +1-818-702-0100 FAX: +1 310-677-6642 AXMG Axminster Medical Group 310/675-5370 Extended SR PPG L.A. CARE P.O. Schedule your next appointment, or view details of your past and upcoming appointments. FORM FIT GARMENT FOR DELIVERY OF TENS E0744 NEUROMUSCULAR STIMULATOR FOR SCOLIOSIS . Torrance Memorial IPA. We are committed to securing a healthy future for providers and patients through flexible, innovative, and adaptive technology and . 562.947.8478. Do you value the benefits of a Mission driven faith-based health care system? Your dispute must contain the following information: Fill out the necessary fields (these are yellow-colored). Sally beauty holdings insurance company or authority, unarchive or portion of specialty drug administration fee includes. Provider News Bulletins. My Account, Forms in HMO Insurances: if you are an HMO member of a group other than those listed above, we can offer you our cash rate. PCN providers have access to the most advanced medical technologies and treatments. Find forms and documents for you and your patients below including authorizations and referrals, medical, claim forms, and others you may need to manage your practice and care for your patients. Over the past 50+ years, Axminster Medical Group has earned a reputation of being a provider of distinctive care and service. Follow the simple instructions below: Feel all the benefits of submitting and completing legal forms on the internet. Step 4 In Prescriber Information, you will have to enter the prescribers full name, specialty, and complete address; the requestors name (if different from the prescriber), and the prescribers office contact person, NPI number, phone number, DEA number, fax number, and email address. From sprains and sniffles to bumps and bruises, our physicians are ready to give you the care you need on a walk-in basis. And involved IPA/medical groups a week from October 1 to September 30 hours are 8 to Of CPAP and BiPAP supplies must be ordered 5 business days prior delivery! Speak to a SCAN Member Services Advocate: (800) 559-3500 TTY: 711. Axminster Medical Group can provide services to patients on a variety of insurance plans, including traditional health insurance plans, as well as a number of HMO and PPO health plans. Munich Museums Open Monday. Axminster Medical Group. Please select the appropriate Prior Authorization Request Form for your affiliation. Box 811580 Los Angeles, CA 90081 (888)4LA -Care(452 2273) APPL Apple Care Medical Group, Inc. 21311 Madrona Ave., Suite 101 Visit URL Hours are 8 a.m. to 8 p.m., seven days a week from October 1 to March 31. Your information is well-protected, as we keep to the most up-to-date security standards. Need help finding something? The Population Health Management Solution. AAMG may also make the criteria or guidelines available through electronic communication means. Important: Your appointment with Harbor-UCLA Faculty Practice Plan is not a guarantee of coverage.We highly encourage you to confirm coverage with your health insurer prior to your appointment. AUTHORIZATIONS A completed Service Authorization Request Form is required for all referrals made to out-of-network providers. The office and examining rooms were clean. Get answers to your medical questions from the comfort of your own home. At the extended care practice we will see children through adult (with the exception of infants). Nov 2014 - Present6 years 10 months. Pediatrics, Nursing (Nurse Practitioner) 4 Providers. From April 1 to September 30 hours are 8 a.m. to 8 p.m. Monday through Friday. One of our representatives will be happy to assist you. . Our independent network of over 500 primary care and specialty physicians live and practice medicine in your community. How to Write. Interested in more information about Brand New day, a PROFESSIONAL Medical you should press Caps Lock on cause. If a prescription drug is not covered, or there are coverage restrictions or limits on a drug, you may contact us and request a coverage determination. PRIOR AUTHORIZATION - PHARMACY. Providence Medical Institute- Axminster Medical Group. Axminster Medical Group family physicians in Los Angeles provide care for the entire family and are committed to educating patients about the benefits of wellness and disease prevention. Caps Lock is On. Utilization related decision-making is based on the individual clinical needs of the member, benefit availability, and medical appropriateness of care and service, and existence of coverage. MV Medical Management (MVMM) is a full-service management services organization that provides administrative, technical and professional support to Independent Practice Associations (IPAs). Does your IPA/Medical Group or the Plan offer urgent [MRI/Mammogram/Physical Therapy] services without a prior authorization? Show Phone Number. The American Hospital Directory provides operational data, financial information, utilization statistics and other Axminster Medical Group is a group practice with 3 locations. Include the current banking institution name, routing number and last 4 digits of the account on file with Optima Health. They let my one year old daughter roam around the office and hallway while we waited for the doctor. Axminster Medical Group, Inc. Bay Valley Medical Group, Inc. . Most referrals to other specialists will require you seeing or speaking with a GP. The function of prior authorization is to verify member eligibility for the service, determine benefit coverage, and ensure the best provider selection, level and/or setting of care and to review the request for medical appropriateness using health plan, Affinity, or nationally accepted standards. Customer Log in for My Aerial by Medecision. Select a category from the list below to view and download the forms you need. The office and examining rooms were clean. Having Caps Lock on may cause you to enter your password incorrectly. Through Exceptionl care Medical Group | Providence < /a > Anthem Blue Cross Cal MediConnect Plan Medicare-Medicaid! You are here: Home. Exact matches . July 6, 2020. Include the current banking institution name, routing number and last 4 digits of the account file. The purpose of Prior Authorization is to assure that recommended medical services are medically necessary, rendered at the appropriate level of care, provided in a timely manner, and cost effective.
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