Reminder: Requesting Additional Information - Non Pharmacy PA

This is a reminder that when NCTracks reviews prior approval (PA) requests, if the necessary information to adjudicate the PA is missing or clarification is needed, a Request for Additional Information letter will be sent. The PA request will be placed in PEND AL 1 status and a letter is mailed to the service location address of the requesting provider and posted to the Message Center Inbox on the secure provider portal. The Request for Additional Information letter states what information is needed to complete the review and the date the information requested must be received.

If the information that was requested is not received by the date in the letter, the PA request will be denied. In that case, a denial letter will be sent to both the recipient and the provider. Providers are encouraged to respond promptly to the Request for Additional Information letter to avoid PA denials.