Prior Authorization Lookup Tool

Find out if a service needs prior authorization. Type a Current Procedural Terminology (CPT) code in the space below to get started.

Important notice

This tool provides general information for outpatient services performed by a participating provider. The following services always require prior authorization:

  • Elective inpatient services.
  • Urgent inpatient services.
  • Services from a non-participating provider.

The results of this tool are not a guarantee of coverage or authorization. If you have questions about this tool or a service, call 1-855-707-5818.

Directions

  1. Enter a CPT code in the space below.
  2. Click “Submit”.
  3. The tool will tell you if that service needs prior authorization.

Providers