Welcome to the Form Resource Center for Behavioral Health Clinicians
Requesting Prior Authorization Has Changed
Thank you for requesting prior authorization online. We have moved to a new platform to ensure fast, easy and accurate request. We now use the Cohere Health platform to provide you with a powerful tool to accelerate the PA process and expand real-time approvals.
You will still sign-on through My Insurance Manager so you can begin the process for behavioral health services, but the portal will route you to the new web-based application, powered by Cohere Health, to enhance the efficiency of PA decisions.
Click here to login to My Insurance Manager
The form below will continue to be available from the resource center: