Example: dental hygienist
Outpatient Pre Treatment Authorization Program Opap Request
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Outpatient Pre-Treatment Authorization - Program (OPAP ...
provider.carefirst.comOutpatient Pre-Treatment Authorization Program (OPAP) Request INSTRUCTIONS Participating Providers: to initiate a request and to check the status of your request, visit CareFirst Direct at carefirst.com. Please print and complete entire form. Fax form to 410-505-6404. Check all that apply:
PROVIDER GUIDE FOR GHI ACCOUNTS - ValueOptions
www.valueoptions.comIf treatment will continue beyond any initial pass-through sessions, additional visits must be authorized. There are several ways to authorize additional visits: • Request additional visits online via the Web-based ProviderConnect service, located at www.ValueOptions.com • Fax a completed Outpatient Review Form (ORF2) or Medication Management