PROVIDER QUICK REFERENCE GUIDE: Prior …

nevada Medicaid/ nevada Check Up Prior authorization QUICK REFERENCE guide Page 1 of 4 Updated 07/24/2017 pv01/09/2015 PROVIDER QUICK REFERENCE guide : Prior authorization Requests INTRODUCTION This document provides valuable tips for navigating the online Prior authorization (PA) system. QUICK Tip #1: Online authorization Submissions 1.) Remember that the application times out after 20 minutes of inactivity; for this reason, it is advisable to complete the PA submission in one sitting. 2.) The medical justification will accept only the following special characters: a-z, A-Z, 0-9, spaces and characters ' . ? ! , ( ) - + : ; _ % / \ = & # * $ ^ 3.) In the medical justification field, please enter the PROVIDER type associated with the authorization request if your National PROVIDER Identifier (NPI) is tied to multiple PROVIDER types, , 10, 11 and 12, 20.

Nevada Medicaid/Nevada Check Up Prior Authorization Quick Reference Guide Page 2 of 4 Updated 07/24/2017 pv01/09/2015 PROVIDER QUICK REFERENCE GUIDE: Prior Authorization Requests

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