Healthy Blue

Louisiana Providers

Prior authorization requirements


The preferred method to request or check the status of a prior authorization request or decision for a particular plan member is to access our Interactive Care Reviewer (ICR) tool via Availity. Once logged in, select Patient Registration | Authorizations & Referrals, then choose Authorizations or Auth/Referral Inquiry as appropriate.

Don’t have an Availity account?

Need help with Availity?

Physical health

Precertification requests and inpatient notification fax:

877-269-5705

Concurrent inpatient clinical fax:

888-822-5595

Outpatient fax:

888-822-5658

Durable medical equipment fax:

844-528-3684

Behavioral health

Fax all requests for services that require prior authorization to:


Inpatient:

844-432-6027

Outpatient:

844-432-6028

Pharmacy

Check our Preferred Drug List or see the formulary information on the Pharmacy Information page to use our searchable formulary tool.

Pharmacy prescription drug prior authorization fax:

844-864-7865

Pharmacy medical injectable prior authorization fax:

844-487-9291

IngenioRx member services phone:

833-207-3114

Pharmacists/provider phone:

833-236-6194

Heathy Blue Dual Advantage

Dual Advantage Prior Authorizations — Utilization Management


Phone:

800-262-2731

Fax:

877-423-9972

The following always require prior authorization:

Elective services provided by or arranged at nonparticipating facilities.

Nonparticipating providers

All services you render require prior authorization:


Call

844-521-6942

Obtain prior authorization from our vendors

Hi-tech radiology, cardiology, and sleep medicine


AIM Specialty Health®:

800-714-0040

Laboratory services and diagnostic testing

LabCorp:

800-345-4363

Quest DiagnosticsTM:

866-MY QUEST (866-697-8378)

Nonemergency transportation

MediTrans:


Meditrans phone:

866-430-1101

Dedicated provider line:

844-349-4324

Vision services


SuperiorVision®:

866-819-4298

Provider tools & resources

Interested in becoming a provider in our network?

We look forward to working with you to provide quality services to our members.