WebPRIOR AUTHORIZATION FORM Nevada Exchange: Sierra Health and Life EPO Requesting Provider’s Fax #: Service Provider / Address / Phone #: ... Sierra Health and Life: Out of plan . Primary Care Provider Name / Address / Phone & Fax #: Phone: (LV) 702-243-8499 (outside LV) 888-224-4036 Webq Non-Formulary q Prior Authorization q Expedited Request q Expedited Appeal q Prior Authorization q Standard Appeal CLINICAL / MEDICATION INFORMATION PRESCRIPTION DRUG MEDICATION REQUEST FORM FAX TO 1-866-240-8123 To view our formularies on-line, please visit our Web site at the addresses listed above. Fax each form separately.

Search and Manage Prior Authorizations - ays.sierrahealth.com

WebPrior Authorization and Notification. Check prior authorization requirements, submit new medical prior authorizations and inpatient admission notifications, check the status of a request, and submit case updates for specialties including oncology, radiology, genetic molecular testing and more. WebProvider feedback helps us ensure that the improvements we make benefit you. To learn about joining our network, contact our Contracting team at 207-402-3885 and/or [email protected] or [email protected] for Behavioral Health … diamond pacific tool corporation

SIERRA HEALTH-CARE OPTIONS QUIK REFERENCE GUIDE

WebSearch and Manage Prior Authorizations Continued: 4 Once all the Filter Options are selected, select the Apply Filterbutton and the screen refreshes with new results. The New … WebPrior Authorization and Notification. Check prior authorization requirements, submit new medical prior authorizations and inpatient admission notifications, check the status of a … WebPRIOR AUTHORIZATION FORM Nevada Exchange: Sierra Health and Life EPO Requesting Provider’s Fax #: Service Provider / Address / Phone #: ... Sierra Health and Life: Out of … diamond pacific tool corp