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Need to update an existing authorization? Use our new form!
October 10, 2024

This article is for all providers caring for our members

If you need to make changes to an existing authorization, such as the date of service, codes, or units, we’ve created a new form for you to do so. Once you’ve completed the form with your information and the requested updates, fax it to us at the number on the form. Note: The fax number you use will depend on the type of service being rendered and the member’s plan.

You can find our new Updates to Existing Authorizations form at these locations on Provider Central:

MPC_100424-1P-1-ART