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Questions?
Check out your provider manual (PDF). Or call Provider Relations at 1-866-638-1232 (TTY: 711).
Tips for requesting prior authorization
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Tips for requesting prior authorization
A request for PA doesn’t guarantee payment. We can’t reimburse you for unauthorized services. Here’s the process for requesting PA:
Register for the Provider Portal if you haven’t already.
- Verify member eligibility before providing services.
Complete and send the PA request form (PDF) for all medical requests.
- Attach supporting documents when you submit the form.
For details on the information and documents required to fill out a PA request form, you can refer to our PA request checklist (PDF).
How to request PA
You can request PA:
By phone
Ask for PA by calling us at 1-866-638-1232 (TTY: 711).
By fax
Download and complete our PA request form (PDF). Then, fax it to us at 1-877-363-8120.
And be sure to add any supporting materials for the review.
Need to request peer review?
To request a Peer to Peer review, call 1-833-459-1998
We don’t routinely conduct post-service reviews. You should follow procedures for requesting PA as defined in your provider manual, per your individual contract, on our website, or as per written notice. If you are denied a request for prior authorization, you can submit a claim and follow the provider appeal process.