Catholic Health Initiatives (CHI) Members

Click here for Services Requiring Pre-Authorization.

QualChoice Members

Services Requiring Pre-Authorization.

Search or browse by service type to see services requiring pre-authorization.

Please also check the QualChoice Coverage Policies if you do not find a specific procedure listed here.

QualChoice Network Medical Providers: You will receive verbal approval when requesting pre-authorization. Please inform your patient at that time that the request has been approved. Thank you.

NOTES

Pre-authorization is the decision to cover a planned medical procedure, prescription drug or medical device. Pre-authorization is not a promise of payment for care or services.

Items with an asterisk (*) may be reviewed after the service has been performed, before payment is made. All others must be approved before services are performed. The member must get pre-authorization for any services outside the network noted on their ID card.