Prior Authorization is a process where your provider obtains approval for the service from Banner Medicare Advantage. We must approve services that require prior authorization before the services are given to you.
Banner Medicare Advantage must review these authorization requests before you can get the service. Your provider office will let you know when authorization is obtained. You can also contact our Customer Care Center to find out the status of the request.
Banner Medicare Advantage will let you know by mail if prior authorization is denied. In the letter, you will have instructions on how to file an appeal. The letter will also describe the reason for the denial. If you have a question about the denial and need help, please call our Customer Care Center, or write to Banner Medicare Advantage.
If additional support is needed to better understand the process and your rights, contact a member advocate by email at [email protected].