Precertification lookup tool
Please verify benefit coverage prior to rendering services. Inpatient services and nonparticipating providers always require precertification.
Please note:
- This tool is for outpatient services only.
- It does not reflect benefits coverage, nor does it include an exhaustive listing of all non-covered services (for example, experimental procedures and cosmetic surgery).
- Refer to your provider manual for coverages or limitations.
Note: Please note that services listed as requiring precertification may not be covered benefits for a member.
Availity Essentials applications
Verify member eligibility or benefits
- Log in to Availity Essentials, or
- Use the Prior Authorization tool within Availity Essentials, or
- Contact Provider Services
Submit a precertification request
- Log in to Availity Essentials.
- Select Patient Registration from the top navigation.
- Select Auth/Referral Inquiry or Authorizations.
Provider tools & resources
- Log in to Availity
- Launch Digital Solutions Learning Hub Now
- Learn About Availity
- Precertification Lookup Tool
- Precertification Requirements
- Claims Overview
- Member Eligibility & Benefits Overview
- Policies, Guidelines & Manuals
- Referrals
- Forms
- Provider Training Academy
- Electronic Data Interchange (EDI)