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?
Precertification requests and inpatient notification fax:
Concurrent inpatient clinical fax:
Durable medical equipment fax:
Fax all requests for services that require prior authorization to:
Pharmacy prescription drug prior authorization fax:
Pharmacy medical injectable prior authorization fax:
IngenioRx member services phone:
Heathy Blue Dual Advantage
Dual Advantage Prior Authorizations — Utilization Management
The following always require prior authorization:
Elective services provided by or arranged at nonparticipating facilities.
All services you render require prior authorization:
Obtain prior authorization from our vendors
Hi-tech radiology, cardiology, and sleep medicine
AIM Specialty Health®:
Dedicated provider line: