Behavioral Health Prior Authorization/Utilization Management Training for Banner Health Providers

Question Title

* 1. Which Behavioral Health PA/UM training will you be attending? (ONLINE)

Tuesday, June 16, 2020 10:00 AM - 11:30 AM

Thursday, June 18, 2020 3:00 PM - 4:30 PM

Wednesday, June 24, 2020 10:00 AM - 11:30 AM

Question Title

* 2. Attendee #1

Staff Member Name

Facility Name

Telephone

Email address

Question Title

* 3. Attendee #2

Staff Member Name

Facility Name

Telephone

Email Address

Question Title

* 4. Attendee #3

Staff Member Name

Facility Name

Telephone

Email address

Question Title

* 5. Attendee #4

Staff Member Name

Facility Name

Telephone

Email address

Question Title

* 6. What type of behavioral health provider are you?

Out of Home Provider

Outpatient Provider

Other

Question Title

* 7. Thank you for your RSVP for the Behavioral Health training session. Please note, you will NOT receive a confirmation stating that you have signed up. If you have any questions, please email: BUHPCareMgmtBHMailbox@bannerhealth.com.