Prior Authorizations

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

Prior Authorization Code Lists

 

Use these lists to identify the member services that require prior authorization.

New York

Digital Authorizations

 

Submit for medical or behavioral health inpatient or outpatient services. Tract authorization cases. Access the Authorization application from the Patient Registration tab in Availity Essentials.

 

Availity.com 

 

Learn more about Availity Authorizations 

Helpful Links

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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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