Authorizations
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.
Authorizations reference list
A list of services and referrals showing which plans require PA, with links to applicable forms and medical policies
Specialty provider Locator Line
Can't find a specialty service in-network? Call us for help.
Behavioral health
Getting authorization for behavioral health 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 order 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
