Authorization Search Tool Alliant Health Plans Provider Portal DISCLAIMER: The requesting provider is responsible for verifying the member’s eligibility and benefits on the date of service. Prior Authorization requirements apply to all In-Network and Out-of-Network Providers. Alliant Health Plans may need to assist in returning the Member to an In-Network Provider when it is medically safe. Please note: All attempts are made to provide the most current information on the Prior Authorization Search Tool. However, this does NOT guarantee payment. The Prior Authorization Search Tool is limited to only the codes and information provided by the provider on the date of the request and a determination of Prior Authorization applicability may change. Codes utilized for Prior Authorization purposes may be amended, from time to time, based upon Center for Medicare and Medicaid Services' (CMS) approval, removal, or rejection of applicable codes. Payment of claims is dependent upon eligibility, covered benefits, provider contracts, correct coding and billing practices and the medical record documentation to support the Medical Necessity of a Covered Service. For information on specific payment requirements, please refer to the provider manual. If you are uncertain that a Prior Authorization is needed, or to request a Prior Authorization, please call (800) 865-5922 or fax a completed Prior Authorization Request Form to (866) 370-5667. For specialty pharmacy medication administered in any setting other than inpatient, contact Magellan Rx, Alliant Health Plan’s Pharmacy Benefit Manager, at (800) 424-1799 option 3, option 1. If you have additional questions, please contact Customer Service at (800) 811-4793. Note: Services provided by Out-of-Network Providers are still subject to Medical Necessity review but are paid at an Out-of-Network benefit level. Click here to become an In-Network Provider. What are you searching for? 1. Are requested services being performed in the Emergency Department? Yes No 2. Is the requested service associated with a clinical trial? Yes No 3. Are services related to a transplant, hyperbaric oxygen therapy, or dialysis? Yes No 4. Is the request for an inpatient admission to a facility? EXCEPTION: Maternity related inpatient admissions do NOT require Prior Authorization. Yes No 5. Is the request for Outpatient Observation admission at a facility? EXCEPTION: Outpatient Observation admission directly from Emergency Room does NOT require a Prior Authorization. Yes No 6. Is the request for a medication not directly administered by a provider? Yes No 7. Is the request for home health or hospice services? Yes No Enter the code of the services you would like to check: Submit Request Prior Authorization Careers    About Us    Contact Us     TTY/TDD    Language Assistance    Notice of Non-Discrimination    Site Map