Santé Physicians

Prior authorization

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

prior authorization

HMO utilization-management authorization inquiries

Official page read
Phone559-228-2905Published hours

Not published in this record

Product, plan and location

commercial · medicare advantage
California

Mailing address

Not researched for this route

Reference & Support PDF page 4 was visually reviewed. This is the explicitly labeled authorization inquiry route; older specialty-policy UM numbers are not substituted. Physician-owned California IPA administered by Santé Health System. The current site describes its network in Fresno, Madera and Kings counties. HMO delegation and individual plan/physician participation require confirmation; Santé is not the insurance carrier.

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

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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.

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