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Prior Authorization

Prior Authorization


Prior Authorization of Repetitive, Scheduled Non-Emergent Ambulance Transport (RSNAT)

  • Information for independent ambulance suppliers related to the prior authorization process
  • Review documentation requirements and HCPC codes requiring prior authorization
  • How to submit a prior authorization request for repetitive ambulance services
  • Access resources related to ambulance transports
  • RSNAT Prior Authorization Request FormPDF

OPD Prior Authorization

Hospital Outpatient Department Prior Authorization


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