El Paso Health may require authorization for certain services. Click on tool to help you determine if a prior authorization is required.
Prior authorization is based on information provided to El Paso Health at the time of request, it does not guarantee payment of benefits nor verify eligibility and is subject to all terms, conditions, limitations, and exclusions related to the member’s eligibility and subsequent medical review.
Regardless of prior authorization status, medical decisions concerning a course of treatment are solely between the physician and the patient.
Authorization requests are accepted via electronic through the El Paso Health Web Portal, fax, or telephonically.
Faxed Requests- use the Texas Standard Prior Authorization Request Form for Health Care Service, for behavioral services use the Behavioral Health Prior Authorization Form.
Electronic Requests (Web Portal):
Outpatient and/or Elective or Scheduled Procedures
Fax No: 915-298-7866
Toll Free: 844-2968-7866
Fax No: 915-298-5278
Toll Free: 844-298-5278
*The Fax Server is in operation twenty-four (24) hours a day, seven (7) days a week.
Ph. 915-532-3778 ext.1501
Toll Free: 877-532-3778 ext.1501
Prior Authorization Annual Review Report