Prior Authorization for Providers

Prior Authorization

• WPS Medical Prior Authorization List
  For Aetna Signature Administrators Participating doctors and hospitals please contact American Health Holdings at 866-726-6584 for prior authorization.
• Kidney Dialysis Prior Authorization Request Form
• Outpatient Therapy Prior Authorization Request Form
• Prior Authorization and Referral Request Form

What is Prior Authorization?

Prior authorization is the process of receiving written approval from WPS for services or products prior to being rendered. The provider requests and submits the prior authorization. Services are still subject to all plan provisions including, but not limited to, medical necessity and plan exclusions

Whose responsibility is it?

We encourage customers to verify prior authorization is requested by their provider and approved by WPS.