Prior Authorizations

Providers should use the Prior authorization List when checking which services, items and medications require prior authorization.

Download SCAN Medicare Advantage Prior Authorization Requirements

Portal: Submit a request online.

• Log in to Availity Essentials > select Patient Registration > Authorizations & Referrals > Authorizations

Fax a request form to (800) 411-0671

• Download the SCAN Referral / Authorization Request Form

Call Provider Service at (888) 540-7226 (note: allow 7 calendar days for SCAN to communicate a decision prior to calling).

Email UMCCMdepartment@scanhealthplan.com for auth-related inquiries.

Providers can request an appeal on behalf of a member:

• Fax supporting documentation to (562) 997-1835 (preferred)
• If unable to fax, mail to:
  
  SCAN Health Plan
  P.O. Box 22698
  Long Beach, CA 90801