Prior Authorization

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When a member or provider submits an authorization request, Brandman Health Plan reviews and makes an organization determination. An organization determination is the first decision Brandman Health Plan makes about covering a medical service or item you’ve requested.

For standard authorization requests, we will notify you of a decision within 14 calendar days. There are times where you or your provider may submit an expedited authorization request for a fast organization decision. An expedited authorization will qualify for a fast decision if it is determined that your life, health, or ability to regain maximum function may be seriously jeopardized by waiting for a standard request. An expedited request will receive a decision within 72 hours.

Expedited Requests: CALL 1-888-697-5662.

Standard Requests: FAX 1-888-697-5662 or EMAIL: UM@brandmanhealthplan.com

BHP Authorization Request Form 2021

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