With the new Procedure Code Lookup Tool, Alliance providers can quickly look up prior authorization requirements for procedures. Simply enter in the health plan, procedure code and date of service to access the information you need.
In addition to prior authorization requirements, the lookup tool also generates information regarding procedure code age, service, frequency and diagnosis code limits/requirements upon claim submission.
The tool is available in the authorizations and referrals section of the Provider Portal. Note that login is required to access the tool.
If you have any questions about the tool, please contact Provider Services at 831-430-5504.