How do I request prior authorization for a medical procedure?

To request prior authorization for a medical procedure, you can typically contact your primary care provider or specialist. They will assess whether the procedure meets medical necessity criteria and submit the request on your behalf to Neighborhood Health Plan. It is important to provide all relevant medical documentation and information in order to expedite the authorization process. You may also refer to your plan benefits or contact our customer service for more specific guidance on requesting prior authorization for a medical procedure.