Prior Authorization Lookup Tool
Find out if a service needs prior authorization — type a CPT or HCPCS code in the space below to get started.
- Enter a CPT or HCPCS code in the space below.
- Click Submit.
- The tool will tell you if that service needs prior authorization.
This tool provides general information for outpatient services performed by a participating provider. The following services always require prior authorization:
- Elective inpatient services
- Urgent inpatient services
- Services from a non-participating provider
The results of this tool are not a guarantee of coverage or authorization. If you have questions about this tool or a service, call AmeriHealth Caritas Ohio Provider Services at 1-833-644-6001.