Prior Authorization Requirements

HealthKeepers, Inc. recommends submitting prior authorization requests for Anthem HealthKeepers Plus members via Interactive Care Reviewer (ICR), a secure Utilization Management tool available in Availity. ICR offers a fast, efficient way to securely submit prior authorization requests with clinical documentation. You can also check status of an existing request and auto-authorize more than 40 common procedures. 

Services requiring prior authorization

Providers are responsible for verifying prior authorization requirements before services are rendered. You can use the Prior Authorization Lookup Tool or reference the provider manual to determine if authorization is needed.

Request an authorization

We encourage providers to use ICR in Availity  for all notifications or prior authorization requests, including reporting a member’s pregnancy.

Log in to Availity

Don't have an Availity account?

Prior authorization contacts

Call Provider Services

Anthem HealthKeepers Plus:

TTY: 711

Medical requests

Fax medical prior authorization request forms to:

Inpatient fax:


Outpatient fax:


LTSS fax:

Expedited fax: 888-235-8390

Pharmacy requests

Visit our Pharmacy Information page for formulary information and pharmacy prior authorization forms.

Retail pharmacy fax:


Medical injectable fax:


Behavioral health requests

Please use the Availity Portal for behavioral health authorizations, or contact Provider Services for assistance.

Related information

Provider tools & resources

Interested in becoming a provider in our network?

We look forward to working with you to provide quality service for our members.