Form F-00239 Prior Authorization Drug Attachment for Blood Glucose Meters and Test Strips - Wisconsin

Form F-00239 Prior Authorization Drug Attachment for Blood Glucose Meters and Test Strips - Wisconsin

What Is Form F-00239?

This is a legal form that was released by the Wisconsin Department of Health Services - a government authority operating within Wisconsin. Check the official instructions before completing and submitting the form.

FAQ

Q: What is Form F-00239?
A: Form F-00239 is the Prior Authorization Drug Attachment for Blood Glucose Meters and Test Strips specifically for the state of Wisconsin.

Q: What is a prior authorization?
A: Prior authorization is a process where the healthcare provider obtains approval from the insurance company before prescribing certain medications or treatments.

Q: What is the purpose of Form F-00239?
A: The purpose of Form F-00239 is to request prior authorization from the insurance company for the coverage of blood glucose meters and test strips.

Q: Why do blood glucose meters and test strips require prior authorization?
A: Blood glucose meters and test strips may require prior authorization to ensure that they are medically necessary and meet the coverage criteria set by the insurance company.

Q: Who needs to fill out Form F-00239?
A: The healthcare provider who is prescribing the blood glucose meters and test strips needs to complete Form F-00239.

Q: Can I submit Form F-00239 electronically?
A: It depends on the insurance company's policies. Some insurance companies may allow electronic submission of Form F-00239, while others may require a physical copy to be mailed or faxed.

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Form Details:

  • Released on December 1, 2013;
  • The latest edition provided by the Wisconsin Department of Health Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form F-00239 by clicking the link below or browse more documents and templates provided by the Wisconsin Department of Health Services.

Download Form F-00239 Prior Authorization Drug Attachment for Blood Glucose Meters and Test Strips - Wisconsin

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