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Prior Authorization Not Required

Prior Authorization is Not Required
for these services for HCP DIRECT patients:

  1. Preventive Care Services or
  2. Office-Based and certain Ambulatory Care Center Services or
  3. Plain X-rays and certain urgent imaging studies in office or freestanding imaging center (non-hospital affiliated)

If the services you are considering are not included in one of the links above, Prior Authorization is Required.

Quick Links

 Overview of Referrals and Prior Authorizations

PCP Services NOT Requiring Prior Authorization

Specialty Care Services NOT Requiring Prior Authorization – PSN Specialists

Prior Authorization – Hospital & Facility Based Services

Prior Authorization – Preventive Care Services

Prior Authorization – Radiology Services

Prior Authorization – Injectable Medications

Prior Authorization – Lab and Pathology Services

Prior Authorization – Physical Therapy

 

Tools

The HCP Preferred Network Specialist lookup tool

Submit a Prior Authorization/Notification

Did You Know?

You will need to know if the provider is in our Preferred Specialist Network or an HCP Primary Care Physician, your patient’s medical coverage, and the services rendered.