Prior Authorization

 

For Assistance Call

Prior Authorization Request Forms

Fax Forms and Documentation

 Prior Authorization Requirements

DMC Care
DMC Employees

Call  
(877) 501-0958

 Inpatient/Outpatient

 Fax
(248) 595-8414

2014-2015 
Prior Authorization List

DMC Care
KCI Employees

 Call
(313) 745-7791

 Inpatient/Outpatient

Fax
(313) 745-0772

 2014 - 2015
Prior Authorization List

HAP DMC
Members

 Call
(313) 745-7791

 Inpatient/Outpatient

Fax
(313) 745-0772

Refer to
www.HAP.org

 

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DMC Care Customer Service
(800) 543-0161

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Detroit Medical Center Pencil