Health Plan |
Pre-Service Link |
Comment - Other Related URLs |
Amerigroup - DSNP |
https://providers.amerigroup.com/Pages/PLUTO.aspx |
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CHPW - Medicare Advantage |
https://medicare.chpw.org/provider-center/prior-authorization/ |
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Cigna |
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Coordinated Care - Ambetter |
https://www.coordinatedcarehealth.com/providers/preauth-check/ambetter-pre-auth.html |
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First Choice Health (TPA and PPO) |
https://www.fchn.com/Providers |
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HCA Apple Health - Medicaid FFS |
https://www.hca.wa.gov/billers-providers-partners/prior-authorization-claims-and-billing/prior-authorization-pa |
Provider Billing Guides & Fee Schedules:
https://www.hca.wa.gov/billers-providers-partners/prior-authorization-claims-and-billing/provider-billing-guides-and-fee-schedules#prior-authorization
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HCA Apple Health - Amerigroup |
https://providers.amerigroup.com/Pages/PLUTO.aspx
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HCA Apple Health - CHPW |
https://www.chpw.org/for-providers/prior-authorization-and-medical-review/
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HCA Apple Health - Coordinated Care |
https://www.coordinatedcarehealth.com/providers/preauth-check/medicaid-pre-auth.html |
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HCA Apple Health - Molina |
https://provider.molinahealthcare.com/ |
- Log in to OHP
- Click on Molina Healthcare Logo
- On the WebPortal Main Page click on Forms
- Scroll down to Prior Authorization by CPT code Guide. Be sure to select the guide that coincides with the date of service you are looking up. Be sure to review the column appropriate to the coverage plan - Medicaid, Medicare or Marketplace.
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HCA Apple Health - UHC Community Plan |
https://www.uhcprovider.com/en/prior-auth-advance-notification.html |
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Kaiser Permanente Oregon and Southwest Washington |
https://extsso.kp.org/kpsso-ap/signIn.html or OneHealthPort Single-Sign On |
Select the Utilization Management dropdown menu |
Kaiser Permanente Washington |
https://wa-provider.kaiserpermanente.org/clinical-review |
https://wa-provider.kaiserpermanente.org/provider-manual/index
Scroll down to Referrals and Clinical Review
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Labor & Industries |
https://lni.wa.gov/patient-care/authorizations-referrals/authorization/ |
For Payment Policies:
https://lni.wa.gov/patient-care/billing-payments/fee-schedules-and-payment-policies/
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Molina - Marketplace |
https://provider.molinahealthcare.com/ |
- Log in to OHP
- Click on Molina Healthcare Logo
- On the WebPortal Main Page click on Forms
- Scroll down to Prior Authorization by CPT code Guide. Be sure to select the guide that coincides with the date of service you are looking up. Be sure to review the column appropriate to the coverage plan - Medicaid, Medicare or Marketplace.
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Premera Blue Cross |
https://www.premera.com/wa/provider/utilization-review/about-prior-authorization/ |
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Providence Health Plans |
https://phpprovider.providence.org/portal/ |
Click on Authorization Codes for ‘Combined Prior Authorization List’ |
Regence |
https://www.regence.com/provider/pre-authorization/commercial |
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UHC - Commercial |
https://www.uhcprovider.com/en/prior-auth-advance-notification.html |
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