Optum™ Medical Network has posted a list of procedures that require prior authorization. This is not an all-inclusive list and is subject to change. Please note that inclusion of items or services in this list does not indicate benefit coverage. You should verify benefits prior to requesting authorization.
Payment for authorized services is contingent upon verification of eligibility for benefits, the benefits available in the member’s plan, the applicable contractual limitations, restrictions and exclusions.
Prior Authorization is not required for emergency or urgently needed services.