Healthy Blue, an Anthem Company Nebraska Providers

Nebraska Providers

Prior Authorization Lookup Tool


Availity’s Precertification Lookup Tool helps you know if an outpatient procedure requires prior authorization.

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

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 (for example, experimental procedures, cosmetic surgery, etc.) — refer to your Provider Manual for coverage/limitations.

* Services may be listed as requiring prior authorization 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, do one of the following:

  • Access eligibility and benefits information on the Availity Portal.
  • Use the Prior Authorization Tool within Availity.
  • Call Provider Services at 1-833-388-1406 from 8 a.m. to 9 p.m. CT, Monday through Friday.

To request authorizations:

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

Provider Tools & Resources

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