Welcome to Summit Health
To request prior authorization, you or your provider can call Summit Health Customer Service at 844-931-1778. They can also fax our prior authorization request form (English) | prior authorization request form (En Español) to 855-637-2666.
When we say you need to get prior authorization for a service or prescription drug, it means that you need to get pre-approval from us to cover it. Prior authorization is also referred to as organization determination or coverage determination. Prior authorization is required for:
To request a prescription drug coverage determination, redetermination, or prior authorization, see our pharmacy coverage determination overview.
You can request a review of a medical or pharmacy decision we have made. You can also file a complaint to Medicare.
Last updated Oct. 1, 2023
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Call 844-827-2355 (TTY users, please call 711).
Our customer service team is available from 7 a.m.– 8 p.m. (Pacific Time), seven days a week October 1 – March 31 (closed on Thanksgiving and Christmas), and weekdays April 1 – September 30. Your call will be handled by our automated phone systems outside business hour.