Referrals and Prior Authorizations
Overview of Referrals and Prior Authorizations
HCP Preferred Specialists and Centers of Excellence
Prior Authorization Process Tool
Submit a Prior Authorization Request
PCP Services NOT Requiring Prior Authorization
Specialty Care Services NOT Requiring Prior Authorization – Preferred 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 and Occupational Therapy
View an existing Prior Authorization Request
Providers
Provider Resources
Referrals and Prior Authorizations
Submit a Prior Authorization Request
A request for Prior Authorization can be submitted to HCP in one of two ways:
The preferred and most efficient way to submit a Prior Authorization (PA) request is via the HCP Web-based data interface, EZ-Net.
Login credentials for EZ-Net are required. Learn More about EZ-Net.
Send a completed Authorization Request form to (888) 746-6433 or (516) 746-6433.
Referrals and Prior Authorizations
Overview of Referrals and Prior Authorizations
HCP Preferred Specialists and Centers of Excellence
Prior Authorization Process Tool
Submit a Prior Authorization Request
PCP Services NOT Requiring Prior Authorization
Specialty Care Services NOT Requiring Prior Authorization – Preferred 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 and Occupational Therapy
View an existing Prior Authorization Request
PCP Services NOT Requiring Prior Authorization
Most office-based services in the PCP setting do not require a prior authorization for reimbursement. Find a listing of services here that you can perform in your office without a submission request.
Learn More
Prior Authorization Process
In some cases, a prior authorization may be required. Find out here what requires an authorization and the steps needed to properly fill out and submit your request to HCP.
Learn More
Specialty Care Services NOT Requiring Prior Authorization – Preferred Specialists
Most office-based services performed at a preferred specialist do not require a prior authorization for reimbursement. Find a listing of services here that Preferred Specialists can perform without submitting a request.
Learn More
Prior Authorization – Preventive Care Services
We strongly encourage providers to engage with every patient annually to ensure their health and wellness initiatives are kept current. Preventive Screening Services are made available to all patients without Prior Authorization limitations when performed by a PCP or by a Preferred Specialist Network physician.
Learn More
