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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.

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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.

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.

Register for Online Portal Orientation Session

Evidence-Based Clinical Guidelines