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Precertification Lookup

Please verify benefit coverage prior to rendering services. Inpatient services and non-participating providers always require precertification.

To determine coverage of a particular service or procedure for a specific member:

  • Access eligibility and benefits information on the Availity Web Portal
  • Use the Prior Authorization tool within Availity or 
  • Call Provider Services at 1-844-405-4296 (Medicaid/FAMIS) or 1-855-817-5788 (MMP)

To request authorizations:

  1. From the Availity home page, select ‘Patient Registration’ from the top navigation.
  2. Select ‘Auth/Referral Inquiry’ or ‘Authorizations’.

Provider tools & resources

Interested in becoming a provider in the Simply network?

We look forward to working with you to provide quality service for our members.