New Standardized Prior Authorization Request Form, Reference Guide and Q&A’s
Posted on May 15, 2012
In our ongoing effort for administrative simplification for Providers, we are pleased to share with you the form that will replace the current HNE Prior Approval form. The Standardized Prior Authorization form has been accepted by 12 health plans to help provider offices streamline their processes. Please begin using this form immediately. You can access the form on HNE.com. This form can be faxed to 413-233-2700 or mailed to One Monarch Place, Suite 1500, Springfield, MA 01144-1500.
The health plans that will be using this form are Aetna, Blue Cross Blue Shield of Massachusetts, Boston Medical Center HealthNet Plan, CelticCare, Fallon Community Health Plan, Harvard Pilgrim Health Care, Health New England, Neighborhood Health Plan, Network Health, Tufts, Unicare and UnitedHealthCare.
Final_Prior Auth_Form_Ref Guide_051112
