Information Last Updated: 8/2/2023
As a Brand New Day member you can request a self-referral (pre-authorization) to see a specialist or receive medical services and items. Typically, your provider will do this for you.
When you or your provider send a pre-authorization, Brand New Day reviews and makes an organization determination. An organization determination is the first decision Brand New Day makes about covering a medical service or item you’ve requested.
If the pre-authorization is a, we will notify you of a decision within 14 calendar days (72 hours for Standard Part B Drug requests).
There are times where you or your provider may submit an expedited pre-authorization for a fast organization decision. An expedited pre-authorization qualifies for a fast decision if we determine that your life, health, or ability to regain maximum function may be seriously jeopardized by waiting for a standard request.
If the pre-authorization is an expedited request, we will notify you of a decision within 72 hours (24 hours for Expedited Part B Drug requests).
Please see below how you or your provider can submit a pre-authorization for an organization determination on medical services and items.
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1-866-255-4795 TTY: 711
Monday – Friday 8 a.m. – 8 p.m.
October 1 - March 31:
Monday - Sunday 8 a.m. – 8 p.m.
Brand New Day
Attn: Utilization Management
PO Box 93122
Long Beach, CA 90809