Prior Authorization

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. It is used to ensure that the medical community is providing accurate and necessary care.

Access prior authorization lists and request forms for Prominence Health Plan patients >

Contact Us

  • To request a patient prior authorization electronically, visit our secure provider portal >
  • For benefits, limitations and eligibility call Prominence Health Plan Customer Service Provider Line at 775-770-9311 or 866-500-2741
  • Prominence Health Services at 775-770-9350 or 24-hour confidential fax 775-770-6250