Prior Authorizations

Prior authorization lookup tool

AmeriHealth Caritas Delaware providers are responsible for obtaining prior authorization for certain services. Your claim may be denied or rejected if the prior authorization is not obtained before the service was rendered.

Prior authorization is not a guarantee of payment for the service authorized. AmeriHealth Caritas Delaware reserves the right to adjust any payment made following a review of the medical record and determination of the medical necessity of the services provided.

Change of Prior Authorization Requirements for Certain Procedure Codes (PDF)

How to obtain prior authorization