| Program Name: | BadgerCare Plus and Medicaid | Handbook Area: | Enteral Nutrition Formula | | 05/17/2024 | Prior Authorization : General InformationTopic #4383 Prior Authorization Numbers
Upon receipt of the PA/RF, ForwardHealth will assign a PA number to each PA request.
The PA number consists of 10 digits, containing valuable information about the PA (for example, the date the PA request was received by ForwardHealth, the medium used to submit the PA request).
Each PA request is assigned a unique PA number. This number identifies valuable information about the PA. The following table provides detailed information about interpreting the PA number.
| Type of Number and Description |
Applicable Numbers and Description |
| Media—One digit indicates media type. |
Digits are identified as follows:
1 = paper; 2 = fax; 3 = STAT-PA; 4 = STAT-PA; 5 = Portal; 6 = Portal; 7 = NCPDP transaction or 278 transaction; 9 = eviCore healthcare |
| Year—Two digits indicate the year ForwardHealth received the PA request. |
For example, the year 2008 would appear as 08. |
| Julian date—Three digits indicate the day of the year, by Julian date, that ForwardHealth received the PA request. |
For example, February 3 would appear as 034. |
| Sequence number—Four digits indicate the sequence number. |
The sequence number is used internally by ForwardHealth. |
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