Important update regarding Ascension network eligiblity, claim submissions and prior authorizations

Updated 6/18/2024

In response to the current interruption in accessing Ascension network system information, we wanted to provide an update to all doctors and clinicians on eligibility, claim submissions and prior authorizations.

For eligibility verification:

For APC and SmartHealth eligibility inquiries:

  • Please refer to the Provider Portal. The Provider Portal is updated with claims that have been received through our clearinghouse, SDS, or paper claims received in the mail.

For Dell Children's Health Plan:

  • Please refer to the Provider Portal. The Provider Portal is updated with claims that have been received through our clearinghouse, SDS, or paper claims received in the mail.
  • For eligibility issues please call Member Services.

For claim submission, status or questions:

For claim questions please refer to the Provider Portal. You may continue to submit claims electronically; however, you may experience delays.

For new authorization requests:


This message applies to in-network inpatient, continued inpatient stay, outpatient services and medical specialty pharmacy on the medical benefit.


For covered in-network services requiring authorization:

Ascension is waiving preauthorization requirements for dates of service beginning 5/8/2024 through 6/30/2024.   


Exceptions: Send authorization requests for the following services as indicated:

1. For Transplants, Cellular therapy, Gene Therapies, and out-of-network services:

2. For ABA therapy, send authorization requests as follows:

3. DCHP members only: For physical therapy, occupational therapy and speech therapy send authorization requests as follows:


For medical necessity appeals, please email the appeal to:

Authorization is not a guarantee of payment. Services must meet all other plan requirements for coverage.