Provider Quick Alert

April 17, 2019
Requests for Urgent or Expedited Pre-authorization
For urgent or expedited pre-authorization of services, please use the Pre-authorization Request Form-Clinically Urgent or Expedited, found at

When using this form to request pre-authorization, the patient must be in an urgent condition. This is a clinical condition that, in the opinion of a physician with knowledge of the member's medical condition, requires prompt medical care.  The requesting Provider must attest to the urgency of the member's condition.

1904 MK 006