Prior authorization

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Prior authorization (PA) program for certain hospital outpatient department (OPD) services - submitting the prior authorization request (PAR)

View these submission guidelines when submitting prior authorization requests for certain hospital outpatient department services.

Prior authorization (PA) program for certain hospital outpatient department (OPD) services - submitting the prior authorization request (PAR)

View these submission guidelines when submitting prior authorization requests for certain hospital outpatient department services.

RSNAT (repetitive scheduled non-emergent ambulance transportation) glossary tool

The following article provides a list of common terms used by the medical review department for prior authorization requests.

Prior authorization tips and reminders

The PA team has been receiving and processing prior authorization requests (PAR) for certain hospital OPD services. View the following reminders prior to submitting your request.

Prior authorization tips and reminders

The PA team has been receiving and processing prior authorization requests (PAR) for certain hospital OPD services. View the following reminders prior to submitting your request.

Submit prior authorization requests electronically

Are you using regular mail for submissions to First Coast? We have several electronic options that are easier and faster for you to use. Additionally, submitting documentation electronically: 

Repetitive scheduled non-emergency ambulance transport prior authorization claims submission guidelines

Follow this instructions to learn how to file a claim once you received the unique tracking number (UTN) related to the prior authorization of repetitive, scheduled non-emergency ambulance transports…

Prior authorization of ambulance claims requires UTN in proper field

Repetitive, scheduled non-emergent ambulance transport (RSNAT) has been effective as of April 1, 2022. Through this program, a unique tracking number (UTN) is issued for each medical decision…

Hospital outpatient department (OPD) prior authorization (PA) exemption process reminders

Hospital outpatient departments that qualify for an exempt status effective January 1, need to have at least 10 claims submitted and finalized.

Instructions for completing the prior authorization request (PAR) coversheet for repetitive scheduled non-emergency ambulance transport

Learn how to complete the the prior authorization request (PAR) coversheet for repetitive scheduled non-emergency ambulance transports.