Medical Necessity:
Statement for Medical Necessity:
In your client’s folder, create a separate internal folder for pre-authorizations. Then, use the following template as a guideline:
Make a copy of the templates and put the duplicate in the right folder; please DO NOT directly write in the templates.
Naming Format:
In order to keep everything consistent, please name your initial pre-auths the following way:
Last_First_Month Year_Statement of Medical Necessity
Due Date:
The insurance will most likely let you know to submit additional supporting documentation such as a letter of medical necessity by a certain date.
Do not exceed their deadline, as they will close the case.