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  • Prior Authorization Metrics

    PHC California in alignment with state and federal requirements, publishes an annual summary report of our prior authorization metrics. This report reflects the prior authorization activity for medical services (excluding prescription drugs) for the previous calendar year.

    The intention of this report is to provide transparency, a better understanding of the authorization process and to enable providers to evaluate payer performance.

    Prior Authorization Timeframes

      • PHC California issues prior authorization decisions within 72 hours for expedited requests (urgent) and 7 calendar days for standard requests (non-urgent).
     
    For additional information or if there are any questions on prior authorizations or the above metrics, please contact the Utilization and Case Management Department at (800) 474-1434, Monday through Friday, 8:30 a.m. to 5:30 p.m. (TTY 711).
       
     
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    Page Updated: April 10, 2026 @ 8:02pm