To submit this form, gather all necessary information related to the service codes requiring preauthorization. You can submit the form through the following channels: Email: preauth@mclaren.org, Fax: (555) 123-4567, Online Submission Form: www.mclarenhealthplan.org/preauth, Physical Address: McLaren Health Plan, Preauthorization Department, 123 Health Ave, Suite 456, Health City, ST 78910. Ensure all required fields are completed and provide any supporting documentation as needed. My advice: double-check all information for accuracy before submission to avoid delays or denials.

Effective date for preauthorization requirements: June 1, 2024. Review and submit preauthorization requests before this date to ensure compliance.

The purpose of this form is to provide a comprehensive list of service codes under the McLaren Health Plan that require preauthorization. This ensures that healthcare providers, insurance administrators, and patients are aware of the procedures that need approval before services are rendered. By referencing this document, all parties can ensure that preauthorization requests are accurately submitted and processed, reducing the risk of denied claims and ensuring timely access to necessary medical services.

• 1. Referral Category Name: The category of the medical service for which preauthorization is required.
• 2. Service Codes: Specific codes representing medical procedures that require preauthorization.
• 3. Definitions: Detailed explanations of terms and procedures listed in the document.

Failure to submit this form may result in denied claims and delays in receiving medical services. It is crucial to follow the preauthorization requirements to avoid such issues.

• Denied Claims: Claims for services without preauthorization may be denied, resulting in out-of-pocket expenses.
• Delayed Services: Lack of preauthorization can lead to delays in accessing necessary medical treatments.

• 1. Before Medical Procedure: Submit the form to obtain approval before undergoing any listed medical procedures.
• 2. For Insurance Verification: Verify which services require preauthorization with your insurance provider.