Prior authorization lookup tool
Use this tool for determining what outpatient services require prior authorization.
Please note:
- This tool is for outpatient services only.
- Inpatient services and nonparticipating providers always require prior authorization.
- This tool does not reflect benefits coverage* nor does it include an exhaustive listing of all noncovered services (i.e., experimental procedures, cosmetic surgery, etc.) — Refer to your provider manual for coverage/limitations.
* Services may be listed as requiring prior authorization that may not be covered benefits for a particular member. Please verify benefit coverage prior to rendering services.
More information coming soon!
Please refer to your provider manual or contact our Provider Services team to help answer any questions you may have about Wellpoint. Our Provider Services team is available Monday – Friday, 8 a.m. to 5 p.m.
Call Provider Services: 844-421-5663
Fax Provider Services: 877-799-4129