Form: Authorization Requests

Authorization Requests

For MHG Staff to request authorization from auth team, who then, in turn, will contact insurance companies with the submitted requests.

  • Let us know who to reach out to if we need clarification.
  • EX: Jane Dough would be JaDo
  • Let us know what service you are trying to render, for how long, and how many times.
  • Let us know who to call.
  • Please enter a number from 0 to 100.