BedrockTPA
Providers · Authorizations

Request prior authorization

Some services need approval before they're delivered. Email us the details below and our team will review your request and return a determination by email or fax.

PRIOR AUTHApprovedServiceMRI — lumbarDiagnosisM54.5CPT72148APPROVEDFast reviewUrgent? PrioritizedDetermination sentBy email or fax
How to submit

Send your request by email

Email the information listed here to our team. We'll review it and return a determination to the email or fax you provide.

Email your request toinfo@bedrock-tpa.com

To protect patient privacy, please include only the details needed to process the request. We'll gather anything further securely on follow-up.

What to include

A complete request is reviewed faster and avoids follow-up delays.

  • Physician name, address, Tax ID, and NPI
  • Patient name and Bedrock ID number
  • Whether the request is an emergency
  • Patient date of birth
  • Diagnosis codes and CPT codes
  • Facility name, address, Tax ID, and NPI
  • The email or fax where we should send the determination
Before you submit

A few things that speed up review

Check whether it's required

During eligibility verification, confirm whether the planned service requires prior authorization under the member's plan.

Submit early

Request authorization well before the date of service. Early submission avoids delays to care and downstream claim denials.

Flag anything urgent

If the service is an emergency, say so in your email so our team can prioritize the review appropriately.