Should your pharmacy or insurance company request "precertification" or "preauthorization" for prescriptions, or ask that the doctor contact the insurance company by phone, please note that this is not possible given the large and unreasonable amount of time involved. Instead, please follow the steps below:
- If the pharmacist tells you that they "sent me a fax", this is most likely simply the phone number to the insurance company and is not what I need (CVS NEVER sends the correct form). Instead, please follow the following steps:
- Ask your pharmacist to initiate the precertification themselves online by having them go to the website "Cover my Meds". If they don't seem to know what you are talking about or simply won't do it, then follow the steps below:
- Contact the insurance company yourself, and say that you are calling on my behalf. Give them the name of the medication, and request that they fax a form to my office at (404) 237-3707 containing the patient's name, date of birth, insurance ID, and any questions that they need me to answer in order to complete the process.
- If you are told "we can't do that", please be assured that this is absolutely not correct. Try your call again later with a different agent and you will likely be successful.
- Once they agree to fax the form, please call my office at (404) 237-3987 or email firstname.lastname@example.org to let me know this was done. Include the patient's name, date of birth, and insurance ID in case they fax a blank form as they often do. Express Scripts ALWAYS faxes a blank form.
- The form, once received, will be turned around within 2-3 days if I am in the office. Any delay is the result of your insurance company not sending or not processing the form, and should be followed up with them.