Find out if prior authorization from Highmark Health Options is required for medical procedures and services. Enter a Current Procedural Terminology (CPT) code in the space below to get started.
The contents of this list are subject to change in accordance with plan policies and procedures and the Provider Manual. Providers should consult applicable medical policies for information regarding covered benefits. Recommendations contained in InterQual guidelines are not a guarantee of coverage.
As a reminder, third-party prior authorizations for Highmark Health Options include Davis Vision, eviCore, and United Concordia Dental.
We can help. Review the Prior Authorizations section of the Provider Manual. Call Provider Services at 1-844-325-6251, Monday–Friday, 8 a.m.–5 p.m. Or contact your Provider Account Liaison.