Health Partners Plans
Please download and read through the following material. Our goal is to make the change to EviCore by Evernorth as seamless and easy as possible and these documents will explain the process. There is contact information in the material if you have any questions.
If you are searching for resources related to a commercial or Medicare member, please click HERE
Important Update to the Prior Authorization Process for Specialized Musculoskeletal Therapies
Beginning July 1, 2022, Health Partners Plans is asking therapy providers to use the prescribing physician NPI as the requesting provider when submitting prior authorization (initial and continued care) requests to EviCore by Evernorth for the following services:
Occupational Therapy | Physical Therapy | Speech Language Therapy | Chiropractor Services
This change will ensure that the individual ordering licensed practitioner’s name is included on the determination letter that goes out to the member. It will not affect payment. Continue to use the group/facility NPI as the rendering facility/site selection.
Medical Oncology
Cardiovascular
Radiology
Musculoskeletal
Radiation Oncology
Sleep
Need Help?
Registration Instructions
EviCore highly recommends providers take full advantage of the online capabilities at https://www.evicore.com/provider
Here you can request prior authorization, review our nationally accepted evidence-based guidelines, and receive announcements about program updates. Access requires only your email address and a brief registration.