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Special Authorizations - Avoid the Pain!

The vast majority of healthcare providers will accept generic authorization forms for APS record requests. However, a small but vocal minority require their own customized “special authorization” forms. If you don’t complete these forms correctly it can really slow the process down.

So take some time to double-check just a few critical items before sending special authorization forms in. It will save you time and headaches - and facilitate a smoother and quicker retrieval process than what otherwise might have been.

First (and most importantly), always return completed special authorizations to MediConnect. The special authorization has the request number pre-printed on the top of the page. Simply fax it to 888-489-8706.

Other Items to Check:

  • Is the form complete? (No blank lines).
  • Is it signed (by applicant) and dated?
  • Is the provider requesting an original? Mail in the original - don’t fax it back.
  • Is an “Original Special Authorization” requested? A printed, copied, or faxed blank special authorization can be used, but it must be mailed in with the applicant’s original wet signature (not copied or faxed).
  • Is a “Unique Special Authorization” requested? The provider wants the exact same special authorization form completed, signed and dated. Mail the very original paper form (completed) back to MediConnect.

By checking these few items and paying close attention to any instructions from the provider, special authorizations will be approved faster and more smoothly, ensuring your APS records are returned as quickly as possible.

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