Insurance Information

ACN CONNECTED CARE

• No Referral Required

AETNA

• HMO • Electronic Authorization Required
• PPO • No Authorization/Referral Required

AHCCCS

• AZ Complete • No Referral Required
• Carefirst • Referral Required
• Healthchoice “BCBS”
  • Authorization 1st Visit; No
  • Authorization Or Referral Required
• IHS • No Referral Required
• Mercycare RBHA • Referral Required
• Mercycare Advantage • Referral Required
• Mercycare • Referral Required
• UHCCCP • Referral Required
• UHC Dual • No Referral Required
• UFC Advantage • Referral Required
• UFC AHCCCS • Referral Required
• University Health Plan • Referral Required

ALIGNMENT HEALTH PLAN

• No Referral Required

ALLWELL

• No Referral Required

ARIZONA CARE NETWORK (ACN)

ARIZONA FOUNDATION

• No Referral Required

ARIZONA MEDICAL NETWORK

BANNER AETNA

BCBS – HMO/PPO

• No Authorization Required

BCBS Advantage

• Paper Referral Required

BRIGHT HEALTH

• No Referral Required

CHAMP VA

CIGNA COMMERCIAL

• HMO • Paper Referral Required
• PPO • No Authorization Required

DEVOTED

• Electronic Referral Required

FIRST HEALTH NETWORK

HEALTHNET

• HMO • Electronic Referral Required
• AZPC “Wellcase Value”
  • No Authorization Referral Required

HUMANA

• HMO • Electronic Referral Required
• PPO • No Referral Required

MEDICARE

• No Authorization Required

MEDICARE – RAILROAD

• No Authorization Required

NNG/ NNJ BCBS

NEIGHBORHOOD NETWORK

• Prescott Only – Authorization
• Required From PCP

OPTUMCARE

• Electronic Referral Required

PHCS/MULTIPLAN

• No Referral Required

TRICARE

• Prime • Requires Authorization
• Standard/4Life • No Authorization Required
• Select • No Authorization Required

UNITED HEALTHCARE

• Choice • No Authorization Required
• Choice Plus • No Authorization Required
• Navigate • Electronic Referral Required
• IEX Advantage • Electronic Referral Required

VETERANS ADMINISTRATION

• (CCN) • Authorization Required

WORKER’S COMP

• Authorization Number Required