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Information for Virginia

Prior Authorization

Prior Authorizations (also referred to as pre-approval, pre-authorization and pre-certification) can be submitted digitally via the authorizaton application in Availity Essentials.

Prior Authorization Code Lists

Use these lists to identify the member services that require prior authorization.

Digital Authorizations

Submit for medical or behavioral health inpatient or outpatient services. Tract authorization cases. Access the Authorization application from the Patient Registration tab in Availity Essentials.

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