Authorization request process streamlined

We have updated the authorization review process to provide quicker response times to requests for prior authorization. Priority Health is committed to providing determination of an authorization request within 14 days of receipt. If a request is sent with missing detail or documentation, Priority Health will attempt to contact the provider two times seeking additional information. If no additional information is received, Priority Health will provide a determination based on the initial authorization request materials.

The Prior Authorization form has also been updated to assist with gathering necessary details. With the updated form, we were able to eliminate the need for the specialized Out of Network Prior Authorization form. Please discard any Out of Network Prior Authorization forms you may have copied for your office use. Revised Prior Authorization form.

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