Locate authorization teams and submission faxes. Medical, pharmacy and delegated reviews can follow different routes.
fax prior auth
Medical prior authorization fax — Medicaid plans and Mercy Care Advantage outpatient
Official page read
Phone
No phone listed for this route
Fax
800-217-9345
Published hours
Not published in this record
Product, plan and location
medicaid · medicare advantage · dsnp Arizona
Mailing address
Not researched for this route
Fax the PA request form with supporting materials for Mercy Care Medicaid plans and Mercy Care Advantage outpatient requests; ACC-RBHA SMI behavioral health outpatient requests use the same fax. Routine decisions within 7 calendar days per the page.
Share a structured call experience or flag a contact correction. Submissions are reviewed before publication. Patient details, recordings and documents do not belong here.
Share a call experienceSuggest a contact correction
Call preparation · editorial guide
Make the call count.
Locate authorization teams and submission faxes. Medical, pharmacy and delegated reviews can follow different routes.
Have ready in your secure workspace
Ordering and rendering provider details
Service codes, requested dates and units
Existing authorization or submission reference
Questions to resolve
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?
This is a general administrative checklist, not payer policy or advice about a particular patient. Confirm the current plan instructions.
For healthcare offices
Found the contact. Still need to make the call?
Explore how DialClerk organizes the brief, hold time and staff handoff for your next administrative call.
For the people making the calls
Put payer follow-up on your office’s worklist.
Explore DialClerk for queued calls, hold handling, staff handoffs and a record of the next step. Tell us how your team works.
A request does not create an account or start a call. Use business contact information only. No patient information.
DialClerk Directory