Health Alliance Plan
EviCore is pleased to announce its partnership with Health Alliance Plan (HAP) to provide authorization services for HAP members enrolled in Medicare, and Commercial plans for dates of service beginning June 1, 2011. Prior authorization will be required for selected Cardiac Imaging, High-Tech Radiology, Musculoskeletal Procedures, Radiation Therapy, and Sleep Studies. Services performed in conjunction with an inpatient stay, 23 hour observation, or emergency room visit are not subject to authorization requirements.
To request an authorization:
- Log onto www.evicore.com/pages/ProviderLogin.aspx
- Call us at 888-564-5487; for sleep studies call 888-693-3211
- Fax an eviCore healthcare request form (available online) to 800-540-2406; for sleep study requests fax to 888-693-3210
For urgent requests: If services are required in less than 48 hours due to medically urgent conditions, please call our toll-free number for expedited authorization reviews. Be sure to tell our representative the authorization is for medically urgent care.
We recommend that ordering physicians secure authorizations and pass the authorization numbers to the rendering facilities at the time of scheduling. Authorizations contain authorization numbers and one or more CPT codes specific to the services authorized. If the service requested is different than what is authorized, the rendering facility must contact us for review and authorization prior to claim submission.
Have questions about requesting authorizations? Attend our online orientation! The orientation schedule and program training resources are available at: https://www.evicore.com/healthplan/HAP eviCore healthcare’s Clinical Guidelines and request forms are available at: www.evicore.com.
Please call the Client Provider Operations department at 800-575-4517 (Option #3), or email clientservices@evicore.com if you have any questions or need more information.
Cardiovascular
Radiology
Musculoskeletal
Sleep
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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.