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Fax RequestsAmbetter encourages suppliers to incorporate a completed Authorization Request form with all prior authorization requests submitted via Fax. At least annually, an evaluation is completed to validate the consistency clinical reviewers apply clinical standards in case reviews. Ambetter doesn’t financially incentivize suppliers or different individuals in utilization evaluate decision making, and utilization administration Health news policy and standards don’t encourage selections that lead to underutilization. As an Exclusive Provider Benefit Plan , Ambetter’s covered advantages don’t embody non-preferred provider providers, with some exceptions. These include emergency services and medically essential non-preferred supplier providers which may be prior licensed.
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