A request for PA doesn’t count as a payment. Unauthorized services won’t be reimbursed. You can make requesting PA easier by:
Registering for the Provider Portal if you haven’t already
Verifying member eligibility prior to providing services
Completing the PA form (PDF) for all medical requests
Attaching supporting documentation when submitting
Here are the ways you can ask for PA:
You can ask for PA by calling us at 1-866-827-2710 (TTY: 711).
Download our PA form (PDF). Then, fax it to us at 1-855-661-1967. Please add any supporting material that can be used for the review.
Consult your provider manual (PDF). Or call us at 1-866-827-2710 (TTY: 711).
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