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Submitting Prior Authorization

Prior authorization submission websites

Prior authorization requests are submitted on different websites for Individual and non-Individual plan members (groups, associations, etc.). Sign in to the appropriate website to complete your request.

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Non-individual members

Use Availity to submit prior authorizations and check codes.

More prior authorization resources

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Individual plan members

Code list

(ID cards specify Individual Plan)

ID cards specify individual plans

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Out-of-area providers

Use Availity to submit prior authorizations and check codes.

Prior Authorization details for providers outside of WA/AK

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Premera HMO

Use Availity to submit prior authorizations and check codes.

View forms and code list for Premera HMO

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Federal Employee Program (FEP) members

View the FEP-specific code list and forms.

Medicare Advantage members

View tools for submitting prior authorizations for Medicare Advantage members.

Shared Administration

Prior authorization contacts vary for Shared Administration groups.
View the Shared Administration contact list for details.

Dental

Use Availity to check benefits and codes.
More prior authorization resources

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