|
  Providers
Go Search

Pre-authorization fax numbers are specific to the type of authorization request. Please submit your request to the fax number listed on the request form.

Pre-authorization reconsideration request? Please submit the Reconsideration of a Denied Pre-Authorization form.

Are you an OhioHealth Provider? Access OhioHealthy Prior Authorization forms

 Advanced Imaging Authorization Forms

Retrieving Data

 Authorization Request Form

Retrieving Data

 Behavioral Health

Retrieving Data

 Durable Medical Equipment (DME) Authorization Form

Retrieving Data

 GYN Authorization Forms

Retrieving Data

 Home Health Authorization Forms

Retrieving Data

 OB Certification Form

Retrieving Data

 Private Duty Nursing Request Form

Retrieving Data

 Therapy Authorization Worksheet

Retrieving Data

 Transitional Care Request Form

Retrieving Data

 Related Links