
Wasteful and Inappropriate Service Reduction (WISeR) Model Prior Authorization
Wasteful and Inappropriate Service Reduction (WISeR) Model Prior Authorization form allows Part A and Part B Ohio providers to complete your prior authorization request inside the portal to be transferred to Innovaccer.
Part A providers Place of service will be Hospital Outpatient Department.
Part B providers Place of services are:
- Ambulatory Surgical Center
- Physician Office
- Home Setting
Complete all fields with an *
The submission will be visible in the messages tab.
Also the decision letter will be sent to your inbox in the Messages tab.


Join Electronic Mailing List
Print
Bookmark
Email
Facebook
YouTube
LinkedIn