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Web authorization requirements may vary based on the member’s benefit plan. Web find important member forms, such as authorized delegate and other coverage questionnaire. The preferred method to request or check the status of a prior authorization request or. Web on this website, you will find frequently used forms, pdfs, provider manuals and guides, prior authorization information, practice.
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Web louisiana uniform prescription drug prior authorization form section i — submission phone: Web the purpose of this form is to request a prior authorization for outpatient services and part b drugs. Web complete this form to submit authorizations for blue cross and blue shield of louisiana and hmo louisiana, inc. Web your doctor must get prior authorization before your health plan may cover certain prescription drugs.