Prior authorization form humana

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Louisiana uniform prescription drug prior authorization form , PDF. Physicians and health care practitioners may use this form to submit authorization requests for their New Mexico Humana-Covered patients. New Mexico authorization request form , PDF. Physicians and health care practitioners in Texas may use this form to submit authorization requests for their Humana-covered patients. Texas authorization request form , PDF. To designate your preferred contact and delivery information for communications, please refer to the "Address Change or Other Practice Information" section of the Humana Provider Manual at Humana.

Request for coverage determination — English , PDF. Request for coverage determination — Spanish , PDF. If you prefer, you may complete the Coverage Determination Request Form online. Medically accepted indications are defined by CMS as those uses of a covered Part D drug that are approved under the Federal Food, Drug, and Cosmetic Act or the use of which is supported by one or more citations included or approved for inclusion in any of the compendia described in section g 1 B i of the act.

These compendia guide reviews of off-label and off-evidence prescribing and are subject to minimum evidence standards for each compendium. Currently, this review includes the following references when applicable and may be subject to change per CMS:.

Certain states require Humana to communicate prior authorization modifications before the effective date. The following document outlines the drugs affected by prior authorization modifications. Please reference the following document for more details:. For additional information about current prior authorizations policies, please reference Medical and Pharmacy Coverage Policies page.

Prior authorization for pharmacy drugs. Submitting a request for prior authorization A request must be submitted and approved in advance for medications requiring a prior authorization, before the drugs may be covered by Humana. Puerto Rico Prescriber quick reference guide , PDF This guide helps prescribers determine which Humana medication resource to contact for prior authorization, step therapy, quantity limits, medication exceptions, appeals, precertification and claims.

Illinois authorization request form , PDF Kentucky Medicaid Authorization Form Physicians and health care practitioners in Kentucky may use this form to submit authorization requests for their Humana-Medicaid covered patients. New Mexico authorization request form , PDF Texas authorization form Physicians and health care practitioners in Texas may use this form to submit authorization requests for their Humana-covered patients.

Please reference the following document for more details: Prior Authorization Modifications , PDF For additional information about current prior authorizations policies, please reference Medical and Pharmacy Coverage Policies page. Pharmacy Resources. Colorado preauthorization statistics — pharmacy. Georgia preauthorization statistics — medical. Georgia preauthorization statistics — pharmacy.

Illinois preauthorization statistics — medical. Illinois preauthorization statistics — pharmacy. Texas preauthorization statistics — medical. Texas preauthorization statistics — pharmacy. Preauthorization and notification lists. Important links. Indiana preauthorization request form , PDF New Mexico preauthorization request form , PDF State-specific preauthorization statistics Colorado preauthorization statistics — medical Colorado preauthorization statistics — pharmacy Georgia preauthorization statistics — medical Georgia preauthorization statistics — pharmacy Illinois preauthorization statistics — medical Illinois preauthorization statistics — pharmacy Texas preauthorization statistics — medical Texas preauthorization statistics — pharmacy.

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Its earlier generic usage referred to any monastic superior. In abbeys , a prior would be lower in rank than the abbey's abbot or abbess. In the Rule of Saint Benedict , the term appears several times, referring to any superior, whether an abbot, provost , dean , etc. In other old monastic rules the term is used in the same generic sense.

With the Cluniac Reforms , the term prior received a specific meaning; it supplanted the provost or dean praepositus , spoken of in the Rule of St. The example of the Cluniac congregations was gradually followed by all Benedictine monasteries, as well as by the Camaldolese , Vallombrosians , Cistercians , Hirsau congregations , and other offshoots of the Benedictine Order.

Monastic congregations of hermit origin generally do not use the title of abbot for the head of any of their houses, in an effort to avoid the involvement with the world the office of an abbot would entail. As a result, it is not in use for the congregation as a whole. Among them, the equivalent term of 'prior general' is the one used.

This applies, e. The term is also used by various mendicant orders , e. This applies both to the friars and the nuns of these orders. The term connotes the idea that the 'prior general' is simply the "first among equals". The Benedictine Order and its branches, the Premonstratensian Order , and the military orders have three kinds of priors: [1].

The Claustral prior Latin prior claustralis , called dean in a few monasteries, holds the first place after the abbot or grand-master in military orders , whom he assists in the government of the monastery, functioning effectively as the abbot's second-in-charge. He has no ordinary jurisdiction by virtue of his office, since he performs the duties of his office entirely according to the will and under the direction of the abbot.

His jurisdiction is, therefore, a delegated one and extends just as far as the abbot desires, or the constitutions of the congregation prescribe. He is appointed by the abbot, generally after a consultation in chapter with the professed monks of the monastery, and may be removed by him at any time.

In many monasteries, especially larger ones, the claustral prior is assisted by a sub-prior , who holds the third place in the monastery.

In former times there were in larger monasteries, besides the prior and the sub-prior, also a third, fourth and sometimes even a fifth prior. Each of these was called circa or circator , because it was his duty to make the rounds of the monastery to see whether anything was amiss and whether the brethren were intent on the work allotted to them respectively. He had no authority to correct or punish the brethren, but was to report to the claustral prior whatever he found amiss or contrary to the rules.

In the Congregation of Cluny and others of the tenth, eleventh and twelfth centuries there was also a greater prior prior major who preceded the claustral prior in dignity and, besides assisting the abbot in the government of the monastery, had some delegated jurisdiction over external dependencies of the abbey. The Conventual prior Latin prior conventualis is the independent superior of a monastery that is not an abbey and which is therefore called a "priory".

In other Orders, like the Camaldolese and Carthusians , conventual priors are the norm and there are no abbots. The superior of the major houses of Camaldolese nuns, however, is called an abbess. This title, in its feminine form prioress , is used for monasteries of nuns in the Dominican and Carmelite orders. An Obedientiary Prior heads a monastery created as a satellite of an abbey. When an abbey becomes overlarge, or when there is need of a monastery in a new area, the abbot may appoint a group of monks under a prior to begin a new foundation, which remains a dependency of the mother abbey until such time as it is large and stable enough to become an independent abbey of its own.

In this last case, the head of the whole Order is called the prior general. Among communities of friars, the second superior is called the sub-prior and his office is similar to that of the claustral prior in the Benedictine Order. In the medieval order of St. John also known as the Knights Hospitaller , a Grand Prior acted as the administrator of an order province known as a Grand Priory.

These Grand Priories were joined into larger administrative units known as "Langues", which roughly encompassed all of the order properties within a single language sphere. The grand priories were sometimes subdivided into smaller priories and bailiwicks, and at the lowest level, into commanderies.

While the subdivision into langues was abolished in , the subdivision into grand priories still exists within the sovereign Order of Malta , the modern successor of the historical Order of St. Other chivalric orders, such as the military Order of Christ , the Knights of Santiago , or in general, the Orders founded in the context of the Reconquista , only had one Grand Prior who acted as the Orders' Chief-cleric.

During the peak of the Orders' influence, the chivalric Grand Priors were considered to be equal in rank with a bishop. Since , the priories of the Spanish Chivalric Order have been held in personal union by the Bishop of Ciudad Real. Within the Order of the Holy Sepulcher , the title of Grand prior is held in personal union by the Latin patriarch of Jerusalem. Media related to Priors at Wikimedia Commons.

Cite this Entry. Copy Citation. Post more words for prior to Facebook Facebook. Share more words for prior on Twitter Twitter. More from Merriam-Webster on prior. Love words? Need even more definitions? Word of the Day. Get Word of the Day daily email! Test Your Vocabulary. Acrobat Judge Surgeon Firefighter. You know what it looks like… but what is it called? Can you make 12 words with 7 letters?

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Returns the n th previous cell member from mbrName , in the sequence XrangeList. All other dimensions assume the same members as the current member. PRIOR works only within the designated range, and with level 0 members. Any valid single member name or member combination, or a function that returns a single member or member combination. Optional signed integer. Using a negative value for n has the same effect as using the matching positive value in the NEXT function.

If you do not specify n , then a default value of 1 is assumed, which returns the next prior member from the lowest level of the dimension tagged as Time in the database outline. He was one of few outspoken activists in Syria prior to the uprising that took a place in March of In fact, he was in contact with Lansky prior to converging from the hillside onto the streets of Havana.

That gross abuse should be among the products of such all- prior -bets-are-off decision making is hardly surprising. And prior to that day, it shocked me a lot, it shocked me a lot. This system had been in full operation in both districts prior to the general application of the voluntary system. Fifteen years prior to the commencement of our story, Dorothy had been found by farmer Rushmere on the wild common fronting them.

A former chapter speaks of promises to pay certain savings by the use of Trevithick's inventions prior to his leaving for America. Nor can the insured protect himself by canceling the prior policy if he breaks the condition. He again renewed his offer, and entreated her to allow the marriage ceremony at once to be performed by his brother the prior. New Word List Word List. Save This Word! See synonyms for prior on Thesaurus.