Federal Marketplace/Exchange

Preauthorization

Procedure Code Lookup

Info icon

Benefit preauthorization is required for certain services as part of EMI Health's commitment to help ensure our members get the most appropriate care, at the appropriate time, in the appropriate setting and to help avoid unpleasant surprises for providers and members at the time claims are processed. EMI Health continually monitors procedures requiring preauthorization and makes adjustments as necessary. For assistance or additional information, contact our Provider Assist team at cs@emihealth.com or 800-644-5411.

Info icon

PLEASE NOTE: It is essential that the correct network is selected to receive accurate information. Please ensure that you have confirmed the correct network for each member as our networks are group specific. If the incorrect network is selected, incorrect information will display, and review may be delayed.

Note: Enter up to five procedure codes, then press the 'Search' button.