This is a legal form that was released by the Washington State Health Care Authority - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form HCA13-0087?
A: Form HCA13-0087 is a prior authorization form for corneal cross-linking.
Q: What is corneal cross-linking?
A: Corneal cross-linking is a treatment for progressive keratoconus, a condition that causes the cornea to become weak and thin.
Q: Who needs to fill out this form?
A: This form needs to be filled out by healthcare providers who want to request prior authorization for corneal cross-linking.
Q: What information is required on the form?
A: The form requires information such as patient details, diagnosis, medical history, treatment plan, and supporting documentation.
Q: How long does the prior authorization process take?
A: The processing time for prior authorization varies, but it typically takes a few business days to a few weeks.
Q: Can this form be used for other states?
A: No, this form is specific to Washington State. Other states may have their own prior authorization forms for corneal cross-linking.
Form Details:
Download a printable version of Form HCA13-0087 by clicking the link below or browse more documents and templates provided by the Washington State Health Care Authority.