Precertification lookup tool


Please verify benefit coverage prior to rendering services. Inpatient services and non-participating providers always require prior authorization.

Providers: Select Hoosier Care Connect in the Line of Business field whenever applicable. See provider bulletin  here for more information.

Please note:

  1. This tool is for outpatient services only.
  2. Inpatient services and non-participating providers always require prior authorization.
  3. This tool does not reflect benefits coverage* nor does it include an exhaustive listing of all non-covered services (i.e., experimental procedures, cosmetic surgery, etc.) — refer to your Provider Manual for coverage/limitations.

* Services may be listed as requiring precertification that may not be covered benefits for a particular member. Please verify benefit coverage prior to rendering services.

To determine coverage of a particular service or procedure for a specific member:


To request authorizations:

  • From the Availity home page, select Patient Registration from the top navigation.
  • Select Auth/Referral Inquiry or Authorizations.

Related resources

Page Last Updated: 09/21/2023

Provider tools & resources

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