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Web log in to provider access online, access authorization grids, browse manuals and forms, download tip sheets,. Web as a reminder, prior authorizations can be requested online via provider access online ( provider portal ),. Web medicare medication prior authorization request form specialty medication prior authorization criteria: Web if you are uncertain whether prior authorization is needed, please submit a request for authorization through the. Log in, register for an account, pay your bill, print id cards, and more. Web fidelis care medication request form (9/15/2016) copies of this form and additional information available at. Web authorization grids english (united states) español (estados unidos) 中文 (中国) log in, register for an account,.