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Tips for requesting authorization
Tips for requesting authorization
A request for prior authorization is not a guarantee of payment. Unauthorized services will not be reimbursed. You can make requesting prior authorization easier for yourself by:
- Registering for the Provider Portal if you haven’t already
- Verifying member eligibility prior to providing services
- Completing the prior authorization form for all medical requests
- Attaching supporting documentation when submitting
- Checking out these recent updates to prior authorization requirements
How to request prior authorization
Here are the ways you can request prior authorization:
Phone
By fax
Download our prior authorization form. Then, fax it to us with any supporting documentation for a medical necessity review.
Sacramento: 1-866-489-7441
San Diego: 1-844-584-4450