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We work with our contracted providers to review certain testing and treatment decisions and verify that they are consistent with our clinical policies and philosophy of care. Some services require prior authorization from Iowa Total Care in order for reimbursement to be paid to the provider. Check to see if a prior authorization is necessary by using our online tool.

Prior authorization must be obtained prior to the delivery of certain elective and scheduled services. Family planning, emergency room, post-stabilization services, and table top x-rays never require prior authorization.

Prior authorization requests may be submitted by fax, phone or the Secure Provider Web Portal and should include all necessary clinical information.

Urgent requests for prior authorization should be called in as soon as the need is identified. Iowa Total Care will process most standard prior authorization requests within five days. If we need additional clinical information or the request needs to be reviewed by a Medical Director, additional days may be needed to make a determination.

Clinical Guidelines and Pathways. Welcome ProviderPortal. Provider Portal A fast, easy way to access AIM Specialty Health In a busy practice like yours, you need to deliver quality, appropriate care efficiently to your patients. Proceed to NaviNet Stop Redirect. What practices are saying about Provider Portal. It is easiest to use and your teams are the quickest to respond. Thank you! I love the quick response I get when using the Provider Portal.

Even if nurse reviews or peer to peer evaluations have to be made, your programs all run smoothly.

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What is User Authorization? What are my options?

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