Locate authorization teams and submission faxes. Medical, pharmacy and delegated reviews can follow different routes.
fax prior auth
Outpatient authorization request fax
Official page read
Phone
No phone listed for this route
Fax
352-515-5975
Published hours
Not published in this record
Product, plan and location
medicare advantage · dsnp Florida
Mailing address
Not researched for this route
Outpatient prior authorization requests. Authorizations can also be submitted through the plan's Mirra Healthcare portal (ultimate.mirrahealthcare.com). The PCP must obtain authorization for services not on the Prior Authorization Exclusion List; specialists coordinate with the PCP.
Inpatient concurrent review, SNF, inpatient rehab and LTAC authorization fax
Official page read
Phone
No phone listed for this route
Fax
352-616-0946
Published hours
Not published in this record
Product, plan and location
medicare advantage · dsnp Florida
Mailing address
Not researched for this route
Inpatient concurrent review, skilled nursing facility, inpatient rehabilitation and long-term acute care authorization requests. Not for outpatient requests.
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Make the call count.
Locate authorization teams and submission faxes. Medical, pharmacy and delegated reviews can follow different routes.
Have ready in your secure workspace
Ordering and rendering provider details
Service codes, requested dates and units
Existing authorization or submission reference
Questions to resolve
Is this the correct reviewer for this service and product?
Which documents are missing, and where should they be sent?
What is the case number and next status-check date?
This is a general administrative checklist, not payer policy or advice about a particular patient. Confirm the current plan instructions.
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