Prior Authorizations

Prior Authorization Requirements

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

Download SCAN Medicare Advantage Prior Authorization Requirements

Channels for Submitting Prior Authorization Requests

Portal: Submit a request online.

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

Fax a request form to (800) 411-0671

Check Request Status

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

Questions on Prior Authorizations?

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

Disagree with a Prior Authorization Decision?

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
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