Authorizations

Your authorization copies will be mailed to the address we have on file for you. If you do not want to wait for the mailed authorization copy and would like to get status in a real time; you can login to our portal and view your authorizations status and print them at any time.

Authorization turnaround time details:

Routine/ Standard: within 7-10 Business days

Urgent/Stat: within 72 business hours

Retro: within 30 business days

Providers can submit prior authorization requests via:

Fax: 909-235-4414 (or) 844-308-7505

Tier1 Providers – Portal: Provider Authorization Portal (registration is required)

Prior authorization resources:

• • Overview of services requiring authorization
  • Preventive screening services code list 
  • Tier1 – Services Not requiring Prior Authorization 
  • How to obtain a prior authorization
  • Authorization Status – Portal access
  • Prior authorization request form
    • • Prime Obstructive Sleep Apnea-Intake form

Need Help?

We are here for you! If you have any questions, please contact our support team on 877-234-5227.