Please see the below link to access the ABA form that supports the information required to process prior authorizations for ABA (Applied Behavior Analysis) services.
ABA Form

For folks that do not have an electronic medical records system or if the system is not compatible with @YourService to attach this information, please see the below link to connect to the tutorial regarding how to use the Health Plans fax coversheet technology.
Fax Coversheet Tutorial

If you have questions, please call the Provider Services department at (702) 242-7088 or (800) 745-7065.

Thank you,
HPN/SHL Provider Services

We are pleased to announce the Stat option is now available for prior authorization submissions for appropriate services Monday-Friday 7am-4pm PST ONLY. 

  

Please also note that we will be performing frequent audits to assure these requests meet the medical justification for this priority.

Thank you for your participation in @YourService.