Submit an Authorization Request
Utilization Management decision making is based only on appropriateness of care and service and existence of coverage. The Humboldt IPA does not specifically reward practitioners or other individuals for issuing denials of coverage or services. The Humboldt IPA does not offer financial incentives to UM decision makers that encourage decisions that result in under-utilization.
- Utilization Management Policy & Procedures
- Standing Specialist Referral Policy
- Humboldt IPA Quality and Medical Management Program
PRIOR AUTHORIZATION
Click here to search by CPT code or procedure description to determine if a service requires prior authorization.
Authorization Request Forms
Note: All prior authorizations must be submitted through our Provider Portal.
Please note that the following types of authorization requests require an additional form. Please complete the applicable form submit it through the portal with additional supporting documentation.
