Prior authorization lookup tool
Please verify benefit coverage prior to rendering services. Inpatient services and non-participating providers always require prior authorization.
- This tool is for outpatient services only
- This tool does not reflect benefits coverage, nor does it include an exhaustive listing of all non-covered services (i.e., experimental procedures, cosmetic surgery, etc.).* Refer to your provider manual for coverages or limitations.
- The following BH Outpatient Rev Codes always require Prior Authorization.
Provider tools & resources
- Log in to Availity
- Launch Provider Learning Hub
- Learn about Availity
- Prior Authorization Lookup Tool
- Prior Authorization Requirements
- Claims Overview
- Member Eligibility & Pharmacy Overview
- Policies, Guidelines & Manuals
- Provider Training Academy
- Pharmacy Information
- Electronic Data Interchange
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