Fax Prior Authorizations
Please fax prior authorization requests to the following number:
- Prior Authorization Fax Line
- (858) 357-2612
Telephonic Prior Authorizations or Inquiries
For telephonic prior authorization requests or inquiries regarding a prior authorization call:
- Clinical Call Center
- (844) 336-2676
- (8:00 AM - 7:00 PM EST / 7 days per week)
Denials and Appeals
- A member or an authorized representative may appeal a prior authorization denial.
- The provider may also submit an appeal. If the appeal is on behalf of the member, the provider will require the member's consent.
- Written appeals must be submitted within thirty (30) days of receipt of the denial letter.
Send appeals to the address below:
Attention: Appeals and Grievances Department
MedImpact Healthcare Systems, Inc.
10181 Scripps Gateway Court
San Diego, CA 92131