fax prior auth
Prior authorization request fax — medical (chart notes required)
Prior authorization questions.
Fax800-989-7479
Medical prior authorization requests (toll-free; local fax 503-574-6464).
Published hoursNot published in this record
commercial · medicaid · medicare advantage
Oregon · Washington
Not researched for this route
Fax the Providence Health Plan Prior Authorization Request form with chart notes. Questions: 503-574-6400 or 800-638-0449. High-tech imaging is reviewed by a delegated vendor, not this fax.
View source ↗ · Source checked 2026-10-25 · Prior-authorization lists and fax forms page ↗
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