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Exemplar Portal Check Eligibility

Prior authorization and precertification

Where to send each type of request, and who to call.

Before you submit

Confirm the member is covered first. The member eligibility check returns coverage status, effective dates and plan codes from an NPI, a member ID and a date of birth — usually in under a second.

For anything else, reach us at member.services@exemplarhba.com or 1-855-826-3422.