There are three main strategies for billing: becoming credentialed as a provider, obtaining preauthorization before submission, and submitting the claim without prior authorization. If a pharmacist is credentialed with the insurance carrier, he or she is already authorized to submit claims to the insurance company for those patients using the pharmacist's program.
Before starting any treatment, providers need to complete the Pre-Authorization. And if providers fail to do so, then there are chances of your claim being denied.
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