Form HCA13-0087 Corneal Cross-linking Prior Authorization Form - Washington

Form HCA13-0087 Corneal Cross-linking Prior Authorization Form - Washington

What Is Form HCA13-0087?

This is a legal form that was released by the Washington State Health Care Authority - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form HCA13-0087?
A: Form HCA13-0087 is a prior authorization form for corneal cross-linking.

Q: What is corneal cross-linking?
A: Corneal cross-linking is a treatment for progressive keratoconus, a condition that causes the cornea to become weak and thin.

Q: Who needs to fill out this form?
A: This form needs to be filled out by healthcare providers who want to request prior authorization for corneal cross-linking.

Q: What information is required on the form?
A: The form requires information such as patient details, diagnosis, medical history, treatment plan, and supporting documentation.

Q: How long does the prior authorization process take?
A: The processing time for prior authorization varies, but it typically takes a few business days to a few weeks.

Q: Can this form be used for other states?
A: No, this form is specific to Washington State. Other states may have their own prior authorization forms for corneal cross-linking.

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Form Details:

  • Released on August 1, 2021;
  • The latest edition provided by the Washington State Health Care Authority;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form HCA13-0087 by clicking the link below or browse more documents and templates provided by the Washington State Health Care Authority.

Download Form HCA13-0087 Corneal Cross-linking Prior Authorization Form - Washington

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