Wisconsin Providers

Precertification Lookup Tool


Please verify benefit coverage prior to rendering services. Inpatient services and nonparticipating providers always require prior authorization.

Please note:

  • This tool is for outpatient services only.
  • It does not reflect benefits coverage, nor does it include an exhaustive listing of all noncovered services (for example, experimental procedures, cosmetic surgery, etc.).
  • Refer to the Provider Manual for coverages or limitations.

Please note that services listed as requiring precertification may not be covered benefits for a member.

Please note that services listed as requiring precertification may not be covered benefits for a member.

To verify member eligibility or benefits:


  1. Log in to the Availity Portal, or
  2. Use the Prior Authorization tool within Availity, or
  3. Contact Provider Services

To submit a precertification request:


  1. Log in to  Availity.
  2. Select Patient Registration from the top navigation.
  3. Select Auth/Referral Inquiry or Authorizations.

Provider tools & resources

Interested in becoming a provider in the Anthem network?

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