Prominence Health Plan Members

Prior Authorization for Services in Nevada2017-08-03T08:20:13+00:00

Prior Authorization for Services in Nevada

In order to maintain quality and medical management standards, the services provided to our members are continually evaluated.

Prior authorization is the standard industry process of receiving approval for certain procedures and medical services within HMO and PPO plans. It is used to ensure that the medical community is providing accurate and necessary care.

Prominence Health Plan HMO Members

Your primary care provider (PCP) or specialist obtains this on your behalf. We encourage you to call the Customer Service phone number on the back of your member ID card to confirm if prior authorization has been obtained, when required.

View a list of services that require prior authorization >

Prominence Health Plan PPO Members

Ensuring that prior authorization has been acquired is the member’s responsibility. Your physician may obtain this on your behalf, but we encourage you to call the Customer Service phone number on the back of your member ID card to confirm if prior authorization has been obtained, when required.

View a list of services that require prior authorization >