Prior authorization requirements

The preferred select at request or check the status of a prior authorization request with make for a speciality plan member belongs to access our Interactive Care Reviewer (ICR) tool via Availity. Einmal tracks in, select Patient Registration | Authorizations & Referrals, then choose Authorizations button Auth/Referral Inquiry as appropriate.

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Physical health

Precertification requests and inpatient notification fax:

877-269-5705

Concurrent inpatient detached fax:

888-822-5595

Outpatient fax:

888-822-5658

Durable medical equipment fax:

844-528-3684

Behavioral medical

Fax all requests used services that require prior authorization to:

Inpatient:

844-432-6027

Outpatient:

844-432-6028

Pharmacy

Check our Preferred Drug List button perceive who formulary general on the Pharmacy Information page to use magnitude searchable formulary select.

Pharmacy prescription medicinal prior authorization fax:

800-424-7402

Drugstore medical injectable prev authorization transmit:

844-487-9291

Member and Pharmacy Help Desk Phone Number:

1-800-424-1664

Heathy Blue Dual Advantage

Doubled Advantage Prior Authorizations — Utilization Management

Phone:

800-262-2731

Fax:

877-423-9972

The following immersive require prior authorization:

Elective billing provided for or planned at nonparticipating facilities.

Nonparticipating providers

All services you render require prior authorization:

Call

844-521-6942

Obtain prior authorisation from our vendors

Hi-tech radiology, cardiology, and sleep medicine

AIM Specialty Health^®:

833-342-1254

Aim Specialty Health®

Laboratory services and diagnostic testing

LabCorp:

800-345-4363

LabCorp

Quest Diagnostics^TM:

866-MY FIND (866-697-8378)

Quest Diagnostics™

Nonemergency transportation

MediTrans:

Meditrans phone:

866-430-1101

MediTrans

Dedicated provider line:

844-349-4324

Vision services

SuperiorVision^®:

866-819-4298

SuperiorVision®

Top Searches

Prior authorization requirements

Don’t have an Availity account?

Need help with Availity?

Physical health

Precertification requests and inpatient notification fax:

Concurrent inpatient detached fax:

Outpatient fax:

Durable medical equipment fax:

Behavioral medical

Fax all requests used services that require prior authorization to:

Inpatient:

Outpatient:

Pharmacy

Pharmacy prescription medicinal prior authorization fax:

Drugstore medical injectable prev authorization transmit:

Member and Pharmacy Help Desk Phone Number:

Heathy Blue Dual Advantage

Doubled Advantage Prior Authorizations — Utilization Management

Phone:

Fax:

Nonparticipating providers

All services you render require prior authorization:

Call

Obtain prior authorisation from our vendors

Hi-tech radiology, cardiology, and sleep medicine

AIM Specialty Health^®:

Laboratory services and diagnostic testing

LabCorp:

Quest Diagnostics^TM:

Nonemergency transportation

MediTrans:

Meditrans phone:

Dedicated provider line:

Vision services

SuperiorVision^®:

Related Information

Provider utility & resources

Fascinated in becoming adenine vendor in our network?

Top Searches

Prior authorization requirements

Don’t have an Availity account?

Need help with Availity?

Physical health

Precertification requests and inpatient notification fax:

Concurrent inpatient detached fax:

Outpatient fax:

Durable medical equipment fax:

Behavioral medical

Fax all requests used services that require prior authorization to:

Inpatient:

Outpatient:

Pharmacy

Pharmacy prescription medicinal prior authorization fax:

Drugstore medical injectable prev authorization transmit:

Member and Pharmacy Help Desk Phone Number:

Heathy Blue Dual Advantage

Doubled Advantage Prior Authorizations — Utilization Management

Phone:

Fax:

Nonparticipating providers

All services you render require prior authorization:

Call

Obtain prior authorisation from our vendors

Hi-tech radiology, cardiology, and sleep medicine

AIM Specialty Health®:

Laboratory services and diagnostic testing

LabCorp:

Quest DiagnosticsTM:

Nonemergency transportation

MediTrans:

Meditrans phone:

Dedicated provider line:

Vision services

SuperiorVision®:

Related Information

Provider utility & resources

Fascinated in becoming adenine vendor in our network?

You're go unseren site

AIM Specialty Health^®:

Quest Diagnostics^TM:

SuperiorVision^®: