Importance of the Address on Prior Approval Requests

Approval letters are sent electronically to the requesting provider's Message Center Inbox on the secure provider portal. This is the only format in which approval letters are sent. There is no physical paper copy of the letter mailed. The electronic approval letters are sent only to the requesting provider; no letter is sent to the recipient.

Requests for additional information are a paper letter sent via USPS mail to the requesting provider listed on the PA request. Requests for additional information are only sent to the requesting provider; no letter is sent to the recipient.

Adverse decisions (denial, reduction, or modified approval letters) are a paper letter sent via USPS mail to the requesting provider listed on the PA request. Adverse decision letters are sent to both the requesting provider and the recipient. The provider letter is sent via regular mail and the recipient letter is sent via certified mail.