ABA Prior Authorization Requirements – Initial PA

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Patient Name*
This insurance company requires prior authorization for ABA therapy. Here are the details to help your clinic complete the prior authorization process.

Prior Authorization Requirements

Please let us know the date when you have submitted your prior authorization documents to this insurance company. We will then confirm with the insurance company that they have received your prior authorization request, and that it is in process.

Prior Authorization Approval

When you receive your prior authorization approval from insurance company, please upload the prior authorization approval letter to us in Teamwork.
This field is for validation purposes and should be left unchanged.