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.
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Prior authorization contacts
Call Provider Services
Anthem HealthKeepers Plus:
Fax medical prior authorization request forms to:
Expedited fax: 888-235-8390
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.
Provider tools & resources
- Log in to Availity
- Launch Provider Learning Hub Now
- Learn About Availity
- Prior Authorization Lookup Tool
- Prior Authorization Requirements
- Claims Overview
- Member Eligibility & Pharmacy Overview
- Policies, Guidelines & Manuals
- Provider Training Academy
- Pharmacy Information
- Electronic Data Interchange (EDI)