We encourage providers to utilize our secure provider portals when requesting prior authorization for the administrative ease and speediness they offer. For providers who prefer to make their prior authorization requests for medical services by fax, however, we’re enhancing our fax capabilities by offering fax lines dedicated to service type (inpatient, outpatient or behavioral health) and line of business. By offering dedicated fax lines we can route your request in a more appropriate and timely manner.

For a list of the fax lines for requesting prior authorization for medical services, please refer to this new page on our provider website. In the coming months, we’ll also be updating our Medical Necessity Guidelines templates to reference the updated fax lines. 

Keep in mind that we are not discontinuing existing fax lines; instead, we’re expanding our fax lines. You can rest assured that we’ll continue receiving the requests you send to the fax lines we use today. 

It’s also important to note the following: 

  • Some services are managed by vendor partners and authorization must be requested directly through them. For details on vendor programs, please refer to the vendor page on the provider website.
  • The contact options for pharmacy and medical drug prior authorization requests differ from the medical request contact options. For instructions on requesting prior authorization for pharmacy and medical benefit drugs, please refer to this guidance.

If the utilization management team requires additional clinical information, you will receive instructions on how to submit the necessary documentation, and a separate fax number may be provided specifically for this submission. You may also be able to upload clinical documentation via the portal; refer to the portal user guides for details.