+26 Cascade Health Alliance Prior Authorization Form References

Cha Case Management Referral Form.

As a general guide, please reference our provider manual. Handwritten or incomplete forms may be delayed. Assertive community treatment team (act):

For Registration Issues Or Technical Assistance Contact Portal Support At [email protected].

We prefer that you submit prior authorizations through our care management portal (jiva). Community supports provider referral form. For registration issues or technical assistance contact portal support at [email protected].

Please Send Completed Forms To:

Utilization management (um) helps us work with your doctors to give you the right care, at the right time, and in the right setting. Prior authorization department 2909 daggett ave. Suite 225, klamath falls, or phone:

Include The Date To The Template Using The Date Option.

Cascade health alliance 2909 daggett ave. Submit the form below to receive more information on how our radiology insurance solutions can maximize your revenue and reimbursement. 2909 daggett ave ste 200klamath falls, or 97601.

This Will Result In More Reliable Communication And Expedited Notification Of Determinations.

We prefer that you submit prior authorizations through our care management portal (jiva). Prior authorization means your provider has to check with us to make sure we will cover a treatment, drug, or piece of equipment. Click the orange get form button to start modifying.