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June 23, 2020

Attention: Outpatient Department Prior Authorization (OPD)

CGS would like to remind providers (Hospital Outpatient Departments) that when submitting a request for Prior Authorization the following steps must be followed in order to determine the authorization.

  • All fields on the OPD form are REQUIRED to be completed unless otherwise noted. Incomplete fields or missing information will cause a delay in completing the Prior Authorization process.
  • When completing the Provider Information section make sure all fields are completed. If submitting by fax, a return fax number is required.

  • When submitting the prior authorization form by Fax, the completed form along with your documentation are to be faxed to the number listed on the Prior Authorization Form. 1.615.782.4486
    • Fax with the form as the first page(s) of your documentation submission.

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