As you know, prior authorization plays an important role in supporting patient care, serving as an important check point for verifying medical necessity and ensuring that care is aligned with clinical guidelines. To avoid the risk of your claims denying unnecessarily and the burden of claim appeals, it’s important to request prior authorization for services requiring it.
We want to make the prior authorization process as seamless as possible for our provider partners. To assist you and your staff, we’ve developed a Quick Reference Guide that offers an overview of Point32Health’s utilization management program and the options for submitting and tracking your prior authorization requests. Designed to simplify day-to-day workflows, the guide includes all the key information and tools providers need to facilitate obtaining successful prior authorization right from the start.
In addition, we have a helpful new video that guides providers through where to find important prior authorization resources on our website.
We appreciate your commitment to providing our members with the most clinically appropriate care and encourage you to keep these resources handy.