Centerlight prior authorization request form 2025

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Prior authorization (prior auth, or PA) is a management process used by insurance companies to determine if a prescribed product or service will be covered. This means if the product or service will be paid for in full or in part.
Submit electronically to payer ID 13360. For any questions regarding claims status, please call Provider Services at 1-800-761-5602, Monday through Friday, from 9 AM to 5 PM.
Bill pay questions If you have questions about your medical bill, please call (844) 422-3627. Our friendly customer service team will be happy to assist you Monday through Friday 7:30 am to 6:00pm CST.
Call Member Services at 1-888 807-6806 (TTY 711), 7 days a week, 8 am to 8 pm. Mail your request to: MedImpact Healthcare Systems, Inc., Attention: PA Department, 10181 Scripps Gateway Ct, San Diego, CA 92131.
Submit electronically to payer ID 13360.
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Please contact the RadMD Support Team at 1-800-327-0641 if you do not receive a response within 72 hours. What is rendering provider access?
For questions, please call 1-833-252-2737 (TTY 711), 8AM-8PM, M-F.