Aspire Health Plan Prior Authorization Form

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Health Care Providers - Aspire Health Plan - Aspire Health Plan

(3 days ago) WebAspire Health Plan. P.O. Box 5490. Salem, OR 97304. For paper claim submission assistance, please call (855) 570-1600. Medicare Providers Serving People with Both Medicare and Medi-Cal. This toolkit is designed to give providers like you information about Medi-Cal managed care changes, for your patients with both Medicare and Medi-Cal.

https://www.aspirehealthplan.org/providers/

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Understanding referrals and prior authorization

(1 days ago) WebPrior authorization is a decision by the health plan that a healthcare service, treatment plan, prescription drug, or durable medical equipment is medically necessary and would otherwise be covered by Medicare. Prior authorization is not intended to create “red tape” or barriers. Rather, it gathers the information necessary to …

https://www.aspirehealthplan.org/understanding-referrals-and-prior-authorization/

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Commercial Provider - Aspire Health

(9 days ago) WebShould a declared state of emergency or health emergency arise, Aspire will activate its Disaster Relief Plan. Disaster Relief Plan; Health Care Coverage During a State of Emergency; Medical Authorizations (831) 657-1600 (831) 657-2669 Fax Authorization Request Form Submit authorization requests electronically at: …

https://www.aspirehealth.org/commercial-provider/

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REFERRAL SOURCE INFORMATION

(3 days ago) Web• An Aspire Health clinician will reach out to a member’s PCP or specialist to coordinate any major changes in a member’s care plan and will share a one-page summary of the visit with the member’s PCP and/or specialist(s). • Aspire Health offers the member access to a team of clinicians 24 hours a day, 7 days a week.

http://aspirehealthcare.com/wp-content/uploads/2023/07/Aspire-Health-Form-Direct-Referral.pdf

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Contact Us - Aspire Health

(7 days ago) WebAspire Health. 10 Ragsdale Drive Monterey, CA 93940. Call. Medicare Advantage Plan (855) 570-1600 (855) 570-1600. Population Health (831) 644-7450 (831) 644-7450. Healthcare Administrative Services Follow Aspire Health Plan: Other providers are available in our network. Multi_Web_AHLP_0822_C

https://www.aspirehealth.org/contact/

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Prior Authorization and Referral Request Form - aspirus.org

(6 days ago) WebPrior Authorization and Referral Request Form If faxing, please fax completed form and applicable supporting clinical documents to the appropriate fax number below. Aspirus Health Plan - Attn: Integrated Health Services 6105 Golden Hills Drive, Golden Valley, MN 55416-1023 Phone: 866.631.5404 • Fax: 763.847.4014 30654-2008 MEMBER …

https://www.aspirus.org/Uploads/Public/Documents/Integration/Aspirus-Health-Plan-Prior-Authorization-Referral-Request-Form.pdf

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Provider Forms Aspirus Health Plan - UCare

(3 days ago) WebThe following are forms for providers who work with Aspirus Health Plan. Additional forms, information and instruction may be found on the individual pages related to relevant topics. DME/Supply Prior Authorization Request Form (PDF) General Prior Authorization Request Form (Not used for mental health services or medical drug

https://medicare.aspirushealthplan.com/providers/provider-forms

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About Aspire Health

(9 days ago) WebEstablished in 1961, Coastal—a subsidiary of Aspire Health—specializes in self-insured (self-funded) employer groups and delivers affordable, tailored healthcare benefit solutions, including: Expert third-party claims administration. Access to regional PPO options. State and national provider panels. Coastal continues to empower employers

https://www.aspirehealth.org/about-aspire-health/

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Authorizations Aspirus Health Plan - UCare

(3 days ago) WebA formulary outlining the covered drugs and associated limitations, along with criteria used for prior authorizations is available: 2024 Formulary. 2023 Formulary. Find medical injectable drug prior authorization information for Aspirus Health Plan Medicare Advantage plans and forms to request authorizations on our Pharmacy page.

https://medicare.aspirushealthplan.com/providers/authorizations

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2024 Authorization and Notification Requirements

(7 days ago) WebAspirus Health Plan or an organization delegated by Aspirus Health Plan to approve or deny prior authorization requests. NOTIFICATION The process of informing Aspirus Health Plan or delegates of Aspirus Health Plan of a specific medical treatment or services prior to, or within a specified time period after, the start of the treatment or service.

https://media.aspirushealthplan.com/-/media/aspirus/provider/documents/auth_2024_asp.pdf?rev=0e8376bbd1e84e92a996e457f2ffa43b&hash=119ED8972A31A3DB2D0B9589F9AC4360

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Prior Authorization for Providers

(8 days ago) WebNormal business hours for prior authorizations and admission authorizations are 8:30 A.M. – 5:00 P.M. Monday through Friday. Routine requests to authorize services can be sent via fax to 234.542.0815 using the Authorization Request Form for Service. For urgent/expedited requests, call 330.996.8710 or 888.996.8710.

https://www.summacare.com/providers/utilization-management/prior-authorization

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Notice of Privacy Practices - Aspire Health Partners

(5 days ago) Webtreatment you received at Aspire so your health plan will pay us or reimburse you for the treatment, or about a treatment you are going to receive to obtain prior approval or to determine whether your health plan will cover the treatment. For Health Care Operations. Aspire may use and disclose health information about you for operational purposes.

https://aspirehealthpartners.com/wp-content/uploads/2015/05/AHP-Notice-of-Privacy-Practices.pdf

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Aspirus Health Plan

(8 days ago) WebAspirus Health Plan offers various insurance options for individuals and groups, but some services may require prior authorization. Find out what prior authorization is, how to request it, and what services are covered by visiting the Home Page - Aspirus Health Plan.

https://aspirushealthplan.com/insurance/priorAuthorization

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Prior Authorizations :: The Health Plan

(6 days ago) WebPrior Authorization Request Forms. Medical Prior Authorization Request Form. Molecular Pathology Request Form. Electronic Claim Fax Cover Sheet. Prior Authorization for SUD Form. Prior Authorization for Drug Screening Form. Pharmacy Pre-Authorization and Notification Form. Authorization to Disclose Health Information …

https://www.healthplan.org/providers/prior-authorization-referrals/forms-prior-auth-list-notices

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Prior Authorization Request Form - Sunshine Health

(7 days ago) Webinformation is available for review if requested by the health plan sponsor, or, if applicable, a state or federal regulatory agency. I understand that any person who knowingly makes or causes a false record or statement that is material to a claim ultimately paid by the United States government or any state government may be subject to civil

https://www.sunshinehealth.com/content/dam/centene/Sunshine/pdfs/Prior%20Authorization%20Form_Sunshine_General_v2.pdf

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Prior Authorization & Referrals :: The Health Plan

(6 days ago) WebPharmacy Prior Authorization and Notification Requirements. To obtain prior authorization, call 1.800.624.6961, ext. 7914 or fax 304.885.7592 Attn: Pharmacy. Newly approved, off-label and/or high-cost infusion drugs require prior authorization. Prior authorization forms are located here. All specialty medications, oral and injectable, …

https://www.healthplan.org/providers/prior-authorization-referrals

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