Prior authorization

Locate authorization teams and submission faxes. Medical, pharmacy and delegated reviews can follow different routes.

prior authorization

Utilization Management Department — authorizations (phone ext. 5 and e-fax)

Official page read

Phone510-747-4540 ext. 5Fax

855-891-7174

Authorization and retrospective authorization requests.

Published hours

Monday–Friday, 8 a.m.–5 p.m.

Product, plan and location

medicaid · dsnp
California

Mailing address

Not researched for this route

Alliance UM / Medical Director line for prior authorization questions; the e-fax is also the route for retrospective authorization requests (within 90 calendar days of service), which must not be sent through the dispute process.

View source ↗ · Source checked 2026-10-25 · UM e-fax for retrospective authorization requests ↗

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Make the call count.

Locate authorization teams and submission faxes. Medical, pharmacy and delegated reviews can follow different routes.

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Ordering and rendering provider details
Service codes, requested dates and units
Existing authorization or submission reference

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Is this the correct reviewer for this service and product?
Which documents are missing, and where should they be sent?
What is the case number and next status-check date?

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