Amerigroup of Georgia

Providers - Georgia

Prior Authorization Lookup Tool


Please verify benefit coverage prior to rendering services. Inpatient services and non-participating providers always require prior authorization.

Please note:

  1. This tool is for outpatient services only.
  2. Inpatient services and non-participating providers always require prior authorization.
  3. This tool does not reflect benefits coverage* nor does it include an exhaustive listing of all non-covered services (i.e., experimental procedures, cosmetic surgery, etc.) — refer to your Provider Manual for coverage/limitations.

* Services may be listed as requiring prior authorization that may not be covered benefits for a particular member. Please verify benefit coverage prior to rendering services.

To determine coverage of a particular service or procedure for a specific member:


  • Access eligibility and benefits information on the Availity* Portal OR
  • Use the Prior Authorization tool within Availity OR
  • Call Provider Services at 1-800-454-3730 (TTY 711)
  • After hours, verify member eligibility by calling the 24/7 Nurse HelpLine at 1-800-600-4441.
 

To request authorizations:

  1. From the Availity home page, select 'Patient Registration' from the top navigation.
  2. Select 'Auth/Referral Inquiry' or 'Authorizations'.
 

Provider tools & resources

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