Prior Authorization Search Tool
The Prior Authorization Search Tool offers healthcare providers a quick and efficient way to check for required prior authorizations, ensuring timely patient care.
Procedures Requiring Prior Authorization
The requesting provider is responsible for verifying the member’s eligibility and benefits on the date of service. Prior Authorization approval is subject to all plan limits and exclusions. Please note, Prior Authorization requirements apply to all in-network and out-of-network providers. Alliant Health Plans may need to assist in returning the Member to an in network Provider when it is medically safe.
The list below highlights services that commonly require prior authorization. It is not a complete list. To verify whether a specific procedure or service requires prior authorization, use the Prior Authorization Verification Tool available in the Provider Portal or in the Providers section of AlliantPlans.com. You may also contact Client Services at (800) 811-4793 for assistance.
For a complete list of commonly authorized services, download the pdf below.
Common Services Requiring Prior Authorization
- Advanced Imaging
- Behavioral Health
- Durable Medical Equipment
- Hospital Admissions
- Infusion Therapy
- Outpatient Surgery
- Sleep Studies
- Specialty Medications
Annual Reports
Alliant provides access to Prior Authorization Statistics in aggregate for the most recent calendar year as required by state and federal law. Please use the links below to view this information.
Utilization Management Prior Authorization Annual Report
The annual report provides transparency into utilization management activities, including approval rates, denial rates, turnaround times, and request volumes.
Pharmacy Prior Authorization Annual Report
The Pharmacy Annual Report summarizes pharmacy authorization requests, processing times, approval rates, and medication review statistics.