Prior Authorization Lookup Tool

Find out if a service needs prior authorization. Type a Current Procedural Terminology (CPT) code or a Healthcare Common Procedure Coding System (HCPCS) code in the space below to get started.

Important notice

This tool provides general information for outpatient services performed by a participating provider.
The following services always require prior authorization:

  • Elective inpatient services.
  • Urgent inpatient services.
  • Services from a nonparticipating provider.

If you have questions about this tool or a service or want to request prior authorization, call 1-855-294-7046.

Directions

  1. Enter a CPT code in the space below.
  2. Click “Submit.”
  3. The tool will tell you if that service needs prior authorization.

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