DISCLAIMER: All attempts are made to provide the most current information on the Prior Authorization Search Tool. However, this does NOT guarantee payment. Payment of claims is dependent on eligibility, covered benefits, provider contracts, correct coding and billing practices. For specific details, please refer to the Provider Manual on the Provider Materials page. If you are uncertain that prior authorization is needed, please submit a request for an accurate response.
Non-participating providers in El Paso Health’s network must submit a prior authorization form for all services (some exceptions exist, see below).
Emergent services do not require prior authorization.
Inpatient services require notification within 24-hours of admission.
List of Services that require Prior Authorization
If the answer is yes to any of the following questions, please login to the Provider Portal to submit a prior authorization form.
