Request a Missing Form
You've started submitting your authorization and your form is missing! Fear no longer! We can help!
Not Seeing Your Form?
- Select "Form Missing" to request the needed form and provide relevant details of the form you are searching for to help our team assist in adding this form for you.
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Before Submitting
- You will be provided steps to take to ensure the form you are searching for is not already in our database.
Fear not, for the form you are seeking may already be in SamaCare! We have over 2,700 different forms in our robust database to guide you through your prior authorization quest!
See Tips & Tricks-Finding Your Form for more detailed information and examples.
Example View
Still Unable to Locate Your Form?
- Select "Still can't find my form" to submit the request. If applicable, please also provide a PDF version of the form corresponding to your payer and authorization.
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Request Successful!
- Once you submit the missing form request, you will receive a notification that this has been submitted. Our team attempts to have all missing form requests reviewed and resolved within 2 business days. You will receive an email from a member of our team providing the status of your request.
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Fear not! If you need assistance sooner, please reach via our chat widget to speak with a live agent and we will attempt to prioritize this request!
We're here to guide you through your prior authorization quest!
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