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 with Microsoft TEAMS)

Outpatient Providers, Tuesday, September 22, 2020 9:00AM - 11:00AM

Inpatient Providers, Wednesday, September 23, 2020 9:00AM - 11:00AM

Outpatient Providers, Tuesday, September 29, 2020 2:00PM - 4:00PM

Inpatient Providers, Wednesday, September 30, 2020 2:00PM - 4:00PM

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* 2. Attendee #1

Staff Member Name

Facility Name

Telephone

Email Address

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* 3. Attendee #2

Staff Member Name

Facility Name

Telephone

Email Address

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* 4. Attendee #3

Staff Member Name

Facility Name

Telephone

Email Address

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* 5. Attendee #4

Staff Member Name

Facility Name

Telephone

Email Address

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

Out of Home Provider

Outpatient Provider

Inpatient Provider

Other

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* 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.