Are there specific forms to document the Patient Reported Outcome Measures (PROMs)?

Yes, we have developed a comprehensive PROM toolkit and made all of our clinical assessment questions available for your reference. Click the links to be directed to those resources. If your organization utilizes different functional assessments you can also use those scores. Additionally, if you do not have this information you can enter "0" in this field. 

Question: Will the authorization request decision be affected if we do not enter a functional score?

  • Answer: While we encourage you to submit Patient-Reported Outcome Measures (PROMs) with your requests as appropriate, these do not affect our review or decision at this time.
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