Utilization Management

Peach State’s Utilization Management Department hours of operation are Monday through Friday (excluding holidays) from 8 a.m. to 5:30 p.m. Urgent Requests and Admission Notifications should call (800) 704-1483 and follow prompts.

  • To notify the plan of inpatient hospital admissions and observations by the next business day of admission. A telephone authorization must be followed by a fax submission of clinical information by next business day.
  • You may also call to request outpatient authorizations for urgent and time sensitive services when warranted by the patient’s condition. Please include CPT and ICD-9 codes and place of service codes with your authorization request.

For authorization requirements for the following services, please contact the vendors listed below.



Affirmative Statement

Inpatient Prior Authorization Fax Form (PDF)

Notification of Newborn Delivery (PDF)

Outpatient Prior Authorization Fax Form (PDF)

Prior Authorization Guide-Revised May 2015