Common use of Prior Authorization Process Clause in Contracts

Prior Authorization Process. Your In-network Provider is responsible for knowing what care requires Prior Authorization, and for submitting a Prior Authorization request to us. We will give any Provider access to all necessary forms and instructions for making the request. An Out-of-network Provider is not required to submit a Prior Authorization request for you. If you visit one of these Providers, and that Provider will not submit a Prior Authorization request, you may submit a Prior Authorization request on your own behalf, or on behalf of a Dependent. We will help you obtain required documents and show you the guidelines that apply to the request. However, because your Provider should be able to gather required information and submit it sooner, we encourage you to have your Provider request Prior Authorization whenever possible.

Prior Authorization Process. Your In-network Provider is responsible for knowing what care requires Prior Authorization, and for submitting a Prior Authorization request to us. We will give any Provider access to all necessary forms and instructions for making the request. An Out-of-network Provider is not required to submit a Prior Authorization request for you. If you visit one of these Providers, and that Provider will not submit a Prior Authorization request, you may submit a Prior Authorization request on your own behalf, or on behalf of a Dependentdependent. We will help you obtain required documents and show you the guidelines that apply to the request. However, because your Provider should be able to gather required information and submit it sooner, we encourage you to have your Provider request Prior Authorization whenever possible.

Prior Authorization Process. Your Inin-network Provider provider is responsible for knowing what care requires Prior Authorizationprior authorization, and for submitting a Prior Authorization prior authorization request to us. We will give any Provider provider access to all necessary forms and instructions for making the request. An Outout-of-network Provider provider is not required to submit a Prior Authorization prior authorization request for you. If you visit one of these Providersproviders, and that Provider provider will not submit a Prior Authorization prior authorization request, you may submit a Prior Authorization prior authorization request on your own behalf, or on behalf of a Dependentdependent. We will help you obtain required documents and show you the guidelines that apply to the request. However, because your Provider provider should be able to gather required information and submit it sooner, we encourage you to have your Provider provider request Prior Authorization prior authorization whenever possible.