All inpatient and outpatient procedures or surgeries performed in a Facility require precertification and authorization. In addition, there are other services listed in the Utilization Review section of your Plan document, that will require precertification and authorization. These include but are not limited to: inpatient and outpatient behavioral health and chemical dependency; home health care and hospice care; physical, occupational, and speech therapy; complex imagining (MRI, PET, CAT scan, etc.); and chemotherapy and radiation therapy. A copy of your Plan document can be found on the portal.

Anthem performs precertification (800-274-7767). PLEASE NOTE: We recommended the provider starts the precertification process 5-7 days prior to the schedule service date.

Providers should call Lucent Health to confirm your eligibility and benefits (telephone: 877-382-8587).