The following Prior Authorization List is not an all-inclusive list and will be updated on a periodic basis. Providers are encouraged to review the Prior Authorization List frequently for changes.
Please contact Quartz Customer Service at: (800) 362-3310 with specific code information to determine if an item or service requires prior authorization. Prior authorization is not a guarantee of payment.
All equipment rental and purchase items in excess of $1,000 in billed charges require prior authorization.
Note: Urgent/emergent hospital admissions require notification at the time of admission. Elective hospital admissions require prior authorization before admission and notification when admitted.
Note: The following procedures must be prior authorized before they are scheduled.