Prior Auth Required

01170 - Providers may submit written inquiries to ForwardHealth by mail using the Written Correspondence Inquiry (F- (07/12))

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceProviders may submit written inquiries to ForwardHealth by mail using the Written Correspondence Inquiry (F- (07/12))
Procedure / Service Description

Providers may contact Provider Services through the Portal by selecting the "Contact Us" link. Provider Services will respond to - connection to protect personal health information. Providers may submit written inquiries to ForwardHealth by mail using the Written Correspondence Inquiry (F-01170 (07/12)) form. The Written Correspondence Inquiry form may be photocopied or downloaded via a link from the Portal. Written correspondence should be sent to the following address:

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.