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Pre-Auth Check

Use our tool to see if a pre-authorization is needed. It's quick and easy. If an authorization is needed, you can access our secure Provider Portal to submit online.

Product Is Auth Required Submit PA via Portal Submit PA via Fax
Arizona Complete Health-Complete Care
(Medicaid)
Medicaid Pre-Auth Check Tool Request via Portal

Fill PDF and Fax:

Allwell from Arizona Complete Health
(Medicare)
Medicare Pre-Auth Check Tool  Request via Portal

Fill PDF and Fax:

Ambetter from Arizona Complete Health
(Marketplace)
Marketplace Pre-Auth Check Tool  Request via Portal

Fill PDF and Fax:

Please note, failure to obtain authorization may result in administrative claim denials. Arizona Complete Health providers are contractually prohibited from holding any member financially liable for any service administratively denied by Arizona Complete Health for the failure of the provider to obtain timely authorization.

For additional information visit our Prior Authorization page
Prior Authorizations