Provider Preauthorization Portal

DMBA’s Provider Portal is now available for a more intuitive and user-friendly experience when you submit preauthorization requests.


Register for our New Provider Portal here.
Already registered? Click here to log in.
Access training guides for help navigating the portal here.


This new portal will simplify the authorization process through:

  • Streamlining Submissions: Say goodbye to paper forms and faxes—now you can submit your requests directly from your office computer.
  • Supporting Documentation Made Simple: Quickly and easily attach essential documents and add notes to new and existing requests.
  • Convenient Request Changes: When your patient’s circumstances change, use the portal to easily update information on a request.
  • Tracking Transparency: View the status of your requests at any time and see determinations as soon as they are made.

To access the old Provider Authorization Request page, click here. PLEASE NOTE: This page will soon be discontinued.

If you have questions about this information, please review the training guides or call us at 801-578-5600 or 800-777-3622.