How this process works:
Submitting a Preauthorization Request is a simple alternative to calling our office. Complete one of the forms (select the appropriate one depending on the requested service) and submit the completed form along with pertinent/requested clinical information to ICM for review. You may submit by uploading documents to our secure website (click to upload files), via fax to 503-654-8570, or by secure email to email@example.com.
Please note that standard email is not secure and as such, confidential information should not be transmitted by standard email. Many organizations have access to secure email systems; if your organization doesn’t, please submit requests via the upload option or by fax.