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Service Type Requiring Authorization
All Hospitalizations (including skilled nursing facility, inpatient rehabilitation, inpatient behavioral health, and residential treatment facilities)
Behavioral Health services - Intensive Outpatient Therapy (IOP) and Partial Hospitalization
Outpatient surgery unless performed in a physician office (excluding screening colonoscopy)
Cancer Treatment (Radiation and Chemo therapies)
Advanced Imaging Services (CT/PET/MRI/MRA/SPECT)
Diagnostic Mammograms
Cardiac Rehabilitation Therapy
Private Duty Nursing
Durable Medical Equipment in excess of $500
Genetic Testing/Molecular Pathology
Prosthetics and Orthotics
Sleep Disorder Testing
Injections (including cortisone injections, Botox injections, nerve blocks, Synvisc, and biologic injections) and Infusion Therapy
Home Health care/Home Infusion services
Organ and Tissue Transplant evaluations and transplant admissions
Renal Dialysis
Observation Beds over 2 nights
Hyperbaric Oxygen Therapy
Case Number :
For question regarding the status of your Pre-Authorization Request please contact MediReview at 1800-850-0281
Status :