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Some medical services, procedures, durable medical equipment (DME), and drugs require approval before they can be covered by your patients' benefits.
View important details about authorization
Out-of-Area Member Authorizations
Start the Authorization Process
User Guides
Inpatient Services User Guide 
Procedures, Imaging and DME User Guide
Out-of-Network Services User Guide
Prior Approval Steps
Out-of-Network Steps
Check Status Steps
Admission Notification Steps
Discharge Notification Steps
Drug Authorization User Guide (NovoLogix) 
Related Links
Imaging Services Pre-Authorization Code Groupings
Important Authorization Terms
InterQual® Criteria and SmartSheetsTM
Medical Policies A-Z
Medical Policy Overview
Pre-Service Review for Out-of-Area Members
Prior Approval for Federal Employee Program (FEP) Members
Radiology pre-authorization requests Q&A
SmartSheetsTM
Utilization management-related webinars
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