Prior Authorization | Ascension

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As a reminder, out-of-network doctors are not covered by your Ascension Personalized Care plan. If you see a doctor who is not within the Ascension Personalized Care network you will be responsible for the full amount of service. Emergency services provided by an out-of-network doctor will be covered at the network doctor level when the services provided are for a medical emergency.

Frequently asked questions

Explore answers to the most common APC questions.

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Prior Authorization

Ascension Personalized Care has partnered with Ascension Care Management Insurance Holdings to provide utilization management services.

Clinicians can submit requests:

By Portal

View the status of an authorization by visiting the clinician portal

By Fax

Fax a completed Prior Authorization Form to: 512-380-7507

By Phone

Call Ascension Care Management Insurance Holdings at 844-995-1145 (Monday through Friday 8:00 a.m. to 7:00 p.m. EST)

By Email

Email Ascension Care Management Insurance Holdings at shp-authorization@ascension.org

Prior authorization resources

Pharmacy prior authorization forms