Clover Health Provider Resources
EviCore by Evernorth is pleased to provide prior authorization services for Clover Health for dates of service August 1, 2020 and beyond. Prior authorization will be required for the following services:
- Advanced Imaging
- Cardiac Imaging
- Radiation Therapy
- Musculoskeletal - Interventional Pain, Spine and Joint Surgery
- Sleep Covered Services and Related Equipment
Please refer to the CPT Code List located within the General Resources tab for procedures that require prior authorization through EviCore healthcare. If the procedure isn't found on the CPT Code list, please review authorization requirements through Clover Health's web portal:
Effective 11/1/2021 All part b drug authorizations for Clover Health will be submitted to CVS-Novologix. You may submit authorization request to CVS-Novologix through the following channels:
Phone: 800-932-7013
Fax: 833-866-2893
Online: https://identity.navinet.net/Account/Login
Cardiovascular
Radiology
Musculoskeletal
Sleep
Radiation Oncology
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.