Expedited Service Authorization

In the event the provider indicates, or Prestige Health Choice determines that following the standard time frame could seriously jeopardize the member’s life or health, Prestige Health Choice will make an expedited authorization determination and provide notice within three working days. Prestige Health Choice may extend the three working days time period up to 14 calendar days if the member or the provider requests an
extension, or if Prestige Health Choice justifies to AHCA a need for additional information. Requests for expedited decisions for prior authorization should be requested by telephone, not fax.

Members and providers may submit an oral or written request for an expedited decision. To submit an oral or written request the provider needs to notify or call Prestige Health Choice at 888-611-0784 and request an expedited review. For additional contact information, please refer to the Benefit Grid posted in the Provider’s area of the Prestige web site.