Prior authorization for requested services
The primary coverage criteria of certain services must be established through a prior authorization process before they can be performed. Please refer to Availity Essentials portal, Skai Blue Coverage Policy or the member’s benefit certificate to determine which services need prior authorization.
Authorization | Organizational Determination Request Form
Fill out the Organizational Determination Request Form for medical prior authorizations.
Please fill out the form in its entirety and include all relevant clinical documentation to support the request.