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When Is Prior Authorization Required?
Certain acute outpatient services and planned hospital admissions require prior authorization before the service can be covered for the member.
Effective April 1, 2012, Mercy Care Plan implemented the Prior Authorization Requirement Search Tool (or ProPAT), now available through the MercyOneSource site. The tool allows providers to easily review prior authorization requirements at a code-service group level and to receive immediate Yes/No answers regarding authorization requirements.
For assistance in registering for or accessing this site, please contact your Provider Relations Representative at (800) 624-3879 or (602) 263-3000. Or click here to learn more about MercyOneSource.
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Supporting Information
- Contractor Survey Results
4350 E. Cotton Center Blvd.,
Bldg D, Phoenix,
Arizona 85040
Member Services
7 a.m. to 6 p.m. Monday-Friday
602-263-3000,
Toll-free 1-800-624-3879
(TTY/TDD)
Toll-free: 1-866-602-1982
If you or a family member has a medical emergency, dial 911.