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Johns Hopkins Medicine
JPAL • Prior Authorization Tool
Version: 2024.11.20

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Johns Hopkins Health Plans • Prior Authorization Tool

  • Authorization status can change often. Please confirm the status of each procedure just before delivery of services.
  • Authorization is not a guarantee of payment.
  • Please follow Johns Hopkins Health Plans policies and procedures
  • JPAL may indicate more than one status for a procedure (Authorization Required/Authorization Not Required).  In these cases, always request authorization prior to delivery of services.
  • If you copy or screenshot the authorization requirement results page, do not include member PHI but do include the version number in the upper right hand corner.
Code Modifier Description AMD PP USFHP EHP
  • Authorization status can change often. Please confirm the status of each procedure just before delivery of services.
  • Authorization is not a guarantee of payment.
  • Please follow Johns Hopkins Health Plans policies and procedures
  • JPAL may indicate more than one status for a procedure (Authorization Required/Authorization Not Required).  In these cases, always request authorization prior to delivery of services.
  • If you copy or screenshot the authorization requirement results page, do not include member PHI but do include the version number in the upper right hand corner.