Find specialty resources
Locate the right specialty service for your patients in our network. Call our Specialty Provider Locator Line to talk to a trained nurse.
Auth Status Online
Look up the status of your authorization requests online, even print them
out. On the Provider Center home page, click "Authorizations", then "Auth
Inquiry."
|
An authorization is a process in which the patient's health plan approves a
service for the patient before it can be performed and then reimbursed. You
must request authorization from Priority Health for some services, equipment
and medications. This section lists Priority Health's authorization
guidelines and practices.
Authorizations reference list A list of services and referrals showing which plans require PA, with links to applicable forms and medical policies Behavioral health Getting authorization for Behavioral Heath services Centers of Excellence Information about our Spine, Weight Loss and Transplant Centers of Excellence and how to refer patients for treatment Durable medical equipment (DME) When durable medical equipment needs authorization, and how to request it Drugs Some drugs require prior authorization, including all injectable drugs Radiology How to get an RQI number for high-level diagnostic radiology services Medical Policies Policies that govern authorization for services Patients without authorizations? Here's what to do Criteria for determining medical necessity The Priority Health guidelines and processes to determine authorizations
Last modified
05/20/08
|
