Prior-Authorization And Pre-Authorization

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Our resources vary by state. Choose your location to get started.

Prior Authorizations (also referred to as pre-approval, pre-authorization and pre-certification) can be submitted digitally via the authorizaton application in Availity Essentials.

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The resources on this page are specific to your state. Choose your state below so that we can provide you with the most relevant information.

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Payments for services from a non-participating provider are generally sent to the member, except where federal or state mandates apply, or negotiated agreements are in place.

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