We collect clinical information pertinent to the request. The information is reviewed in conjunction with nationally recognized health care guidelines.
| Requesting by: | details |
|---|---|
| Phone - 24 hours |
Call 800 922-8778
|
| Form |
Complete the Form Fax: 802 371-3757
|
Providers are verbally notified of the determination of pre-certified services within three business days after obtaining all necessary information.
Learn More About... Utilization Management
Prior Approval