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Submit a Support Request Form

Support Request Form

Registration links for submitting authorizations for patients with the insurance payer:
Here is a link to the article with our Registration Guide


If you still need support, fill out the rest of the form and submit.
Otherwise, you may discontinue this survey by closing this page, or you may restart the support request form.
Check the status of an authorization

Option 1:
Login to the Cohere Portal to view the authorization
  • You do not need a Cohere account
  • You will need the auth tracking number (e.g. AAAA1234) or
  • member information (Member ID and DOB) to perform the search.

If you still need support, fill out the rest of the form and submit.

Otherwise, you may discontinue this survey by closing this page, or you may restart the support request form.

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2. Provide the following information for the missing provider or facility:
Click here to see the current PAL list for Humana.

If you still need support, fill out the rest of the form and submit.
Otherwise, you may discontinue this survey by closing this page, or you may restart the support request form.
Click here to see the current PAL list for Oscar.

If you still need support, fill out the rest of the form and submit.
Otherwise, you may discontinue this survey by closing this page, or you may restart the support request form.
2. Contact Information *This question is required.