Provider : How To Submit An Authorization

Under Select the Requesting Provider, type all or part of the last name, first name and provider ID to find the provider requesting the authorization; then click Find Providers.

The matching providers are displayed in the bottom part of the screen.

Under Please Select a Provider, click the checkbox next to the correct provider and then click Next.

Under Select the Requesting Member, type all or part of the last name, first name and member ID to find the provider requesting the authorization; then click Find Members.

The matching providers are displayed in the bottom part of the screen.

Under Please Select a Member, click the checkbox next to the correct provider and then click Next.

Under Place of Service, select the appropriate place of service.

In the CPT 1 box, type the applicable CPT code. Repeat for CPT 2 and CPT 3, if necessary.

Click Next.

Review the information for the authorization. If all is correct, click Finish.

The authorization request is submitted. Print the screen for your records.