Healthcare Partners Authorization Form - Not sure which form you need? Web print the appropriate form from the list below. Web our website no longer supports internet explorer. Prior authorization requests may also be submitted via fax. For the best browsing experience, we recommend using chrome, safari, edge. Call member services using the phone number on the. Web • print where you want your health information sent (e.g., individual, business, other healthcare facility). Web forms for submitting prior authorization requests sign in to check the status of your prior authorization request and select. Web pharmacy prior authorization/exception request form (pdf) travel benefit claim form (pdf) (certain plans only) you can also.
Call member services using the phone number on the. Web pharmacy prior authorization/exception request form (pdf) travel benefit claim form (pdf) (certain plans only) you can also. Web • print where you want your health information sent (e.g., individual, business, other healthcare facility). Web forms for submitting prior authorization requests sign in to check the status of your prior authorization request and select. Not sure which form you need? Web our website no longer supports internet explorer. Web print the appropriate form from the list below. For the best browsing experience, we recommend using chrome, safari, edge. Prior authorization requests may also be submitted via fax.