Prior authorization lookup tool

Please verify benefit coverage prior to rendering services. Inpatient services and non-participating providers always require prior authorization.

Please note:

  • This tool is for outpatient services only
  • This tool does not reflect benefits coverage, nor does it include an exhaustive listing of all non-covered services (i.e., experimental procedures, cosmetic surgery, etc.).* Refer to your provider manual for coverages or limitations.
  • The following BH Outpatient Rev Codes always require Prior Authorization.

*Services listed as requiring prior authorization may not be covered benefits for a member. Please verify benefits before rendering services.

To verify member eligibility or benefits:

To submit a prior authorization request:

  1. Log in to Availity
  2. Select Patient Registration from the top navigation
  3. Then, select Auth/Referral Inquiry or Authorizations

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