fax prior auth
Authorization request fax — Altura MSO UM team
Authorization status and general inquiries (Altura Customer Services).
Fax323-720-5608
Treatment Authorization Request Form (urgent or when CONNECT is unavailable).
Published hoursNot published in this record
Confirm the exact product or service
California
Not researched for this route
Altura MSO (AltaMed's MSO) administers Golden Physicians Medical Group (San Diego). Submit referrals in the CONNECT portal; if unable, fax the Altura Treatment Authorization Request Form. Phone is Altura Customer Services for authorization status.
View source ↗ · Source checked 2026-10-24 · Fax completed forms to Altura MSO UM Team at (323) 720-5608 ↗ · If unable to use Connect, fax referral to 323-720-5608 ↗
Report an update