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Prior Authorization Grid


Online prior authorizations through iEXCHANGE offer providers a fast, convenient alternative to faxing or phoning in requests. Lovelace Health Plan processes prior authorizations quickly, basing approvals on the appropriateness of care and service and the patient’s coverage. Our updated prior authorization grids reflect some important revisions.

Select a Plan Type

Commercial

APS authorization grid
CHMO, PPO & POS In-Network
Individual In Network authorization grid
Individual Out Network authorization grid
Out Of Area authorization grid
PPO & POS Out of Network
State of New Mexico authorization grid
UNM Medical Plan authorization grid

Medicaid

Salud! authorization grid
SCI authorization grid

Medicare

Lovelace Senior Plan authorization grid

Questions about prior authorizations?

We’re here to help!
You can reach us at 505.727.LOVE or toll free at 800.808.7363.
You can send a fax at 505.727.5303

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