Authorizations for out-of-network providers

We require prior authorization for certain services and procedures. In these cases, providers will submit clinical documentation and medical records demonstrating that the service or procedure is medically necessary.

How to request an authorization

Use the forms below to request prior authorization for medical services. Always use a specific service form when available. Turnaround times vary by plan requirements, but all cases are 14 days or less.

Outpatient, elective/planned inpatient admissions

Hospital and other facility

Behavioral health

Home health care services

How to check your authorization status

  1. Log into your prism account
  2. Open the Authorizations menu
  3. Click Check Auth Status

Don't have a prism account? Contact Provider Services for help checking the status of your authorization request.