Insurance List

AZ CARE NETWORK

REFERRAL OR AUTH: PAPER

AUTH # THROUGH INSURANCE (UNLESS OPEN ACCESS HMO)

REFERRAL OR AUTH: AUTH
*AETNA SELECT REQUIRES PAPER REFERRAL

Auth # from Availity Website from PCP

REFERRAL OR AUTH: AUTH

Arizona Care Network, Premier Care Network, performance Network

REFERRAL OR AUTH: PAPER

AHCCCS

REFERRAL OR AUTH: PAPER

ACCLAIM NETWORK

NOT CONTRACTED: TANA FRUMENTO & ERIK MARTINEZ

AMAZON POLICIES REQUIRE A PAPER REFERRAL

MARICOPA FOCUS – NOT CONTRACTED

MARICOPA COMMUNITY COLLEGE NETWORK

DR. RACETTE ONLY – Not at Olive Location

REFERRAL OR AUTH: PAPER

HMO – MARICOPA/PINAL COUNTIES ONLY – OUT OF NETWORK FOR PIMA/SANTA CRUZ COUNTY

MEDICAID / MEDICARE REPLACEMENT

REFERRAL OR AUTH: PAPER

MEDICAID

REFERRAL OR AUTH: PAPER

ALLWELL

REFERRAL OR AUTH: PAPER

ALLWELL

REFERRAL OR AUTH: PAPER

PPO – OPEN ACCESS, CHOICE FUND, MEDICARE SUPPLEMENT

HMO, MEDICARE HMO (BOTH NEED PAPER REFERRAL)

ARIZONACARE NETWORK

CAC & NON – BANNER HEALTH NETWORK

MEDICAID

REFERRAL OR AUTH: PAPER

MEDICAID/MEDICARE REPLACEMENT

PAPER REFERRAL NEEDED

MEDICAID

REFERRAL OR AUTH: PAPER

MEDICAID (SMI)

REFERRAL OR AUTH: PAPER

MEDICAID

REFERRAL OR AUTH: PAPER

AUTH NUMBER REQUIRED FROM VA

REFERRAL OR AUTH: AUTH

VALLEYWISE – TIER 2 SPEC COPYA

***MIHS NOT CONTRACTED***

CHOICE, CHOICE PLUS, PPO, SELECT PLUS, ALL SAVERS

NEXUSACO – PAPER REFERRAL REQUIRED

COMPASS NETWORK – VALUE GOLD, VALUE PLUS SILVER, VALUE SILVER, VALUE BRONZE – AUTH REQUIRED

NAVIGATE/NAVIGATE PLUS

REFERRAL OR AUTH: AUTH

BANNER HEALTH NETWORK

AUTH REQUIRED

BANNER, MEDICAID

REFERRAL OR AUTH: PAPER