|
|
 |
|
|
|
| Pharmacy prior authorization
information
- Pharmacy prior authorization information
and forms can be found at
RegenceRx.
|
- Questions for RegenceRx should
be directed to:
| Phone: |
1
(800) 732-9157 |
|
| |
|
|
| Fax: |
Group
and Individual Products |
1 (800)
884-1053 |
| |
|
|
| Phone: |
Medicare |
1 (888)
437-1508 |
| |
|
|
| Fax: |
Medicare,
Medicare
Part D and Medicaid Products |
1 (888)
335-3016 |
|
Important
pre-authorization reminders
|
- Some member contracts have specific pre-authorization
requirements. The member's contract language
will apply.
- Urgent/Emergent services do not require pre-authorization.
- Before requesting pre-authorization, please
verify eligibility and benefits via Asuris
Online Services for Providers.
- Verification of member eligibility is valid
if obtained within five business days of
service except in the case of misrepresentation.
- Contract exclusions will not be pre-authorized.
Denials may be appealed through Customer
Service.
- Pre-authorizations obtained within 30 business
days prior to service are valid except in
the case of misrepresentation.
- Medical policies related to specific pre-authorization
requirements are available online at http://blue.regence.com/trgmedpol/index.html.
|
|
|
|
