Medical Review Frequently Asked Questions (FAQs)

Q1. Can I submit a Prior Authorization Request for more than one date of service?
A1. Providers must submit a Prior Authorization Request for each date of service as each UTN is valid for one claim/date of service.

Q2. Can a retroactive prior authorization request be submitted?
A2. Prior authorization requests must be submitted before the service is provided to a patient.

Q3. What Provider Transaction Access Number should be used to submit prior authorization requests?
A3. Providers must use the Part A Provider Transaction Access Number (PTAN) when submitting claims for prior authorization requests.
For more frequently asked questions on prior authorization requests please see the Prior Authorization Process for Certain Outpatient Department (OPD) Services Frequently Asked Questions (FAQ).

 

Last Updated Tue, 11 Aug 2020 14:42:47 +0000