Contact your PCP
Before receiving care through your covered HMO benefits, contact your PCP’s office and ask your doctor to request prior authorization.
Request prior authorization
Your PCP will submit an authorization request on your behalf to your plan medical group or Sharp Health Plan. In most cases, your plan medical group will review requests for medical services.
Sharp Health Plan reviews requests for outpatient prescription drugs.
You will receive a confirmation letter in the mail
Routine requests are processed within five business days, and urgent requests are processed within 72 hours. For approved requests, you will receive a letter with the approved provider and expiration date for the authorization. For denied requests,
you’ll receive a letter with the reason for denial and your appeal rights.