Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Health Choice Arizona, Inc. before sending sensitive documents. FaxFlow is not affiliated with this organization.
Health Choice Arizona, Inc. fax number
(877) 422-8120
Medical Prior Authorization
Used for: Medical prior authorization submissions
Fax destination details
- Department
- Medical Prior Authorization
- Purpose
- Medical prior authorization submissions
- Form
- Medical Services Prior Authorization Form — Medical Services Prior Authorization Form
- Voice phone
- Medical PA Phone: 1-800-322-8670
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Requests for prior authorization can be submitted via the Prior Authorization form through the secure provider portal or by fax to the Medical PA Fax Line. Include complete diagnosis and procedure codes, and any required medical documentation.
Review official form instructionsSources and verification
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