​"We are here for you Today, Tomorrow, and in the Future"

Practice Prior Authorization Policy for Patients

At Tranquility Behavioral Health LLC & TMS Center, we prioritize providing timely and effective mental health care to our patients. To facilitate a smooth process for medication approvals, we have instituted a Prior Authorization Policy. Please take note of the following details:

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1. Purpose:

• The purpose of prior authorization is to secure approval from insurance providers for specific medications prescribed to patients. This step is crucial to ensuring coverage and minimizing out-of-pocket expenses for our patients.

 

2. Medications Requiring Prior Authorization:

• Certain psychiatric medications may necessitate prior authorization. Our team will communicate this information to patients during the prescribing process.

 

3. Patient Notification:

• Patients will be promptly informed if a prescribed medication requires prior authorization. We maintain clear communication to explain the process and potential impacts on medication access.

 

4. Process:

• Our dedicated staff initiates the prior authorization process by submitting the necessary information to the patient's insurance provider. This may include details about the diagnosis, medical necessity, and alternative treatment options.

 

5. Timelines:

• We make efforts to expedite the prior authorization process. However, approval timelines are determined by the insurance provider. Patients are encouraged to plan accordingly and communicate any urgency related to their medication needs.

 

6. Patient Responsibilities:

• Patients are responsible for providing accurate and up-to-date insurance information.

• It is the responsibility of patients to promptly inform our office of any changes to their insurance coverage.

 

7. Appeals Process:

• In the event of a denial, our team assists patients in the appeals process. This may involve gathering additional information or providing supporting documentation.

 

8. Open Communication:

• We value open communication with our patients. If you have questions or concerns about the prior authorization process, please do not hesitate to contact our office.

 

At Tranquility Behavioral Health LLC & TMS Center, our goal is to ensure that our patients receive the best possible mental health care. We appreciate your understanding and cooperation with our Prior Authorization Policy.

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For specific inquiries or further clarification, please feel free to reach out to our office. Please allow up to 10 business days to process prior authorizations. Nurse Tammy LVN is your point of contact, and you can communicate with her via our Updox nurse messaging system.