Network Health Prior Authorization

Coverage: Wisconsin Network Health plans; confirm commercial, Medicare PPO or Assure product and provider contract.

Start with the reviewed Network Health resources below. Confirm the member's current plan, the payer's operating status, and the requested service before scheduling care or submitting a request.

At a glance

• Use the product-specific Master Authorization List and the assigned authorization vendor.
• Inpatient authorization can be required even when a procedure code is not listed. Vendor and product rules differ; portal access can require registration.

Where to verify prior authorization requirements

• Verification resource 1

How to submit prior authorization requests

• Follow the service-specific portal or vendor instructions on the authorization page.

• No direct topic-specific link was captured in the current research set.

Information commonly required

• Not clearly published in the researched sources.

Turnaround notes and caveats

• Inpatient authorization can be required even when a procedure code is not listed. Vendor and product rules differ; portal access can require registration.

Provider resources

• Official provider policy or review source (official)
• Official provider policy or review source (official)

Sources

Update notes

Last updated: 2026-10-30.

• Reviewed the official claim submission policy, claims resources and authorization page. Retained separately triggered filing periods; omitted unneeded payer IDs and postal addresses. Contract and product verification remain necessary.