[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-288835-105":53,"doc-detail-288835-en":127},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":120,"head_meta":122,"extra_data":124,"updated_unix":126},105,"en","prior-authorization-requests-quick-guide","Prior Authorization Requests - Quick Guide","","Prior Authorization Requests - Quick Guide provides instructions for submitting and managing prior authorization requests for AZ Blue plans, including online request/status options, fax workflows, and required notification timeframes for unscheduled admissions. It outlines when to use AZ Blue standardized request forms versus EviCore tools, and specifies contact channels for urgent issues and transfers to post-acute care. The guide also details exception pathways for specific plan types and member ID prefixes, including Medicare Advantage, BlueCard, CHS groups, and Medicare Supplement coverage considerations.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":41,"@type":70,"position":76},"https://docshare.wps.com/template/letters/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/prior-authorization-requests-quick-guide/288835/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/prior-authorization-requests-quick-guide/288835.png","ImageObject",442,249,{"name":88,"@type":89},"Dipper","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-11","2026-09-17",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",10,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"How do I submit AZ Blue prior authorization requests online or by fax?","Question",{"text":109,"@type":110},"Use the online request/status tool on the AZ Blue provider portal for AZ Blue standardized forms, or complete the fillable PDF fax forms available under Practice Management > Prior Authorization > AZ Blue Plans-Request AZ Standard Fax.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"When should I use EviCore for prior authorization requests?",{"text":114,"@type":110},"Use EviCore for most AZ Blue commercial plans and AZ Blue-administered Medicare Advantage plans. AZ Blue accepts prior auth requests submitted through EviCore’s online tool as valid.",{"name":116,"@type":107,"acceptedAnswer":117},"What are the key exception routes for certain plans and member ID prefixes?",{"text":118,"@type":110},"Exceptions include ACA StandardHealth with Health Choice (IAA Z prefix), BlueCard out-of-area plans (use the pre-service router or the ID card phone number), CHS group plans, AZ Blue and TPA co-administered plans, FEP plans, and Medicare Advantage or Medicare Supplement plans with specified member ID prefixes.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},288835,1790199070,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":40,"category_name":41,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":9,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":4},1374404997633,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","Prior Authorization Requests – Quick Guide  \n\n| AZ Blue (use these request options formost plans – see “Exceptions” rows below) |  |\n| --- | --- |\n| AZ Blue prior authorization requests\u003Cbr>(Unscheduled admissions require notification within 48 hours) | Online requests/status – Arizona standardized forms\u003Cbr>Use the online request tool at “[azblue.com/provider](azblue.com/providers)[s](azblue.com/providers) > Practice Management> Prior Authorization > AZ Blue Plans-Request AZ Standard Online.”\u003Cbr>Fax requests – Arizona standard forms\u003Cbr>Use the fillable PDF fax forms available at Practice Management > Prior Authorization > AZ Blue Plans-Request AZ Standard Fax.\u003Cbr>24/7 Assistance for urgent issues and transfers to post-acute care\u003Cbr>Email usat[UtilMgmt@azblue.co](UtilMgmt@azblue.com)[m](UtilMgmt@azblue.com) or call the numbers belowfor timely assistance with imminent treatment needs and transfers from acute to postacute care facilities.\u003Cbr>Most AZ Blue plans:\u003Cbr>602-864-4320or 1-800-232-2345\u003Cbr>State of Arizona employer group plans (prefixes SYD and S3Z):\u003Cbr>1-866-287-1980\u003Cbr>Note: Some large groups have customized extended hours (check the member ID card for specific prior authorization and contact information)\u003Cbr>Gold Card Hotline: 602-864-4811 |\n| EviCore prior authorization requests\u003Cbr>(Most AZ Blue commercial plans and all AZ Blue-administered Medicare Advantage plans) | Online requests/status – EviCore\u003Cbr>Access the tool by logging in to  [EviCore.com/provider](EviCore.com/provider).\u003Cbr>Note: Although the EviCore tool is different from the AZ standardized forms,\u003Cbr>AZ Blue will accept prior auth requests submitted through EviCore’sonline tool as valid.\u003Cbr>Provider resources\u003Cbr>Find code lists, clinical guidelines, and more on our  EviCore resource page. |\n|  |  |\n| Exceptions: |  |\n| 1. ACA StandardHealth with Health Choice plan (member ID prefix IAZ)\u003Cbr>Access [resources via](resources via azblue.com/aca-standardhealth-health-choice/providers/pa-guidelines or call)[ ](resources via azblue.com/aca-standardhealth-health-choice/providers/pa-guidelines or call)[azblue.com/aca-standardhealth-health-choice/providers/pa-guidelines](resources via azblue.com/aca-standardhealth-health-choice/providers/pa-guidelines or call)[ or call](resources via azblue.com/aca-standardhealth-health-choice/providers/pa-guidelines or call) 1-800-322-8670. |  |\n| 2. BlueCard® (out-of-area) plans (members from other Blue Plans)\u003Cbr>Use the pre-service router tool on the AZ Blue provider portal at “Practice Management > Prior Authorization > BlueCard (Outof-Area) Members” or call the prior authorization phone number on the back of the member’s ID card. |  |\n| 3. CHS group plans (no member ID prefix; these are large, self-funded employer groups that use a third-party administrator) Call the prior authorization phone number on back of the member’s ID card. |  |\n| 4. AZ Blue and TPA co-administered plans (member ID prefixes K8Y, K8Z, MKQ, NBT, and PTP) Call the prior authorization phone number on the back of the member’s ID card. |  |\n| 5. FEP plans (member ID prefix R)\u003Cbr>For non-postal service plans, call 602-864-4102 or 1-800-345-7562; For postal service plans, call 1-888-585-8922 |  |\n| 6. Medicare Advantage (MA) plans (member ID prefix M2K)– Unscheduled admissions require notification within 24 hours Use the AZ Blue MA prior authorization fax form, available on our  Medicare Advantage Plans page. For EviCore requests, use [the online tool at](the online tool atEviCore.com/provider. For)[EviCore.com/provider.](the online tool atEviCore.com/provider. For)[ For](the online tool atEviCore.com/provider. For) urgent issues after hours, call 1-888-905-1172.\u003Cbr>For members attributed toOptum Health Network Arizona (OHNAZ) or Arizona Priority Care (AZPC) as shown on the back of\u003Cbr>the ID card, [use OHNAZ resources-](use OHNAZ resources-optumproportal.com/home or AZPC resources-azconnect.azprioritycare.com/production)[optumproportal.com/home](use OHNAZ resourc","cbCaijtD8X5kxVzQ","https://ap.wps.com/l/cbCaijtD8X5kxVzQ","pdf",48163,"English","# AZ Blue prior authorization requests\n## Online and fax submission options\n## Urgent assistance contacts\n# EviCore prior authorization requests\n## Online requests and resources\n# Exceptions by plan type\n## ACA StandardHealth with Health Choice\n## BlueCard (out-of-area) and CHS group plans\n## AZ Blue and TPA co-administered plans and FEP plans\n## Medicare Advantage (MA) plans\n## Medicare Supplement plans","[{\"question\":\"How do I submit AZ Blue prior authorization requests online or by fax?\",\"answer\":\"Use the online request/status tool on the AZ Blue provider portal for AZ Blue standardized forms, or complete the fillable PDF fax forms available under Practice Management \\u003e Prior Authorization \\u003e AZ Blue Plans-Request AZ Standard Fax.\"},{\"question\":\"When should I use EviCore for prior authorization requests?\",\"answer\":\"Use EviCore for most AZ Blue commercial plans and AZ Blue-administered Medicare Advantage plans. AZ Blue accepts prior auth requests submitted through EviCore’s online tool as valid.\"},{\"question\":\"What are the key exception routes for certain plans and member ID prefixes?\",\"answer\":\"Exceptions include ACA StandardHealth with Health Choice (IAA Z prefix), BlueCard out-of-area plans (use the pre-service router or the ID card phone number), CHS group plans, AZ Blue and TPA co-administered plans, FEP plans, and Medicare Advantage or Medicare Supplement plans with specified member ID prefixes.\"}]","Prior Authorization Requests - Quick Guide | PDF",1789634055]