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Outpatient Prior Authorization

Outpatient prior authorization exists to make sure that coverage is available and that the most appropriate treatment is used for certain outpatient services and injectable drugs.

Certain outpatient services must be prior authorized utilizing criteria developed and approved by the Medical Advisory Council. You can learn more about the criteria for Medical / Surgical prior authorizations by clicking on one of the links below. You may also contact the Utilization Management Department at 419-887-2520 or toll free at 1-800-891-2520 if you have any questions.