|Pre-Service Review Requirements for Specific Audiences|
Unique pre-service requirements apply for out-of-network providers, non-contracted providers and FEP members.
If you are a non-contracted provider, you will be unable to use the online tool. Please use this prior approval form .
Carefully review Federal Employee Program requirements, which may be different from what is outlined in the Authorization Table.
To request authorization for services to be provided by an out-of-network or non-contracted provider, please submit using the Utilization Management Tool - Procedures and DME. See detailed instructions .