EOCCO referrals & authorizations
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Referrals

Referrals & authorizations

Learn which services need prior authorizations, which services are not covered, and which are not medically necessary.

New! Submit your prior authorization request electronically

 

EOCCO Medical Necessity Criteria

Guidelines

The following tools are EOCCO’s referral and authorization guidelines and instructions. They can help you understand prior authorization request requirements and other medical services that do not require authorization.

Clinical Practice Guidelines

Clinical Practice Guidelines Policy

Forms

Medical

Behavioral Health

 

Questions?

Customer Service: 888-788-9821 (TTY users: 711)
Pharmacy Customer Service 888-474-8539
Hours: Monday through Friday, 7:30 a.m. to 5:30 p.m. PST

EOCCO members should have their member ID number ready for quicker help.

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