Healthfirst Forms

Instructions

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Pain Management Authorization Request Form  
Spinal Surgery Authorization Request Form  

Prior Authorization Submission
and
Status
To begin using our secure site; you must create a user account.
  • New User-Account Request Form

    • To submit authorization check status
  • Request Authorization or Check Status

    • Click on the Web Portal FAQ for Step by Step directions.

    Contact
    Pain Management
    844-504-8091
    Fax: 844-478-8250

    Spinal Surgery
    844-504-8091
    Fax: 844-478-8250

    Health Plan Web Sites
    Click here to access HealthFirst's website