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Rocky Mountain Health Plans Resources

 

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Effective March 1, 2025, EviCore will no longer process prior authorization requests related to lab/genetic testing for Individual and Family Plans (IFP) and for Medicare/ DSNP members. Should you have any questions, please contact Rocky Mountain Health Plans Provider Services at 888-478-4760

 

Upcoming changes to Rocky Mount Health Plans (RMHP) prior authorization programs effective 1/1/2023

  • Chiropractic Care: EviCore will no longer manage prior authorization requests for any RMHP members.
  • Laboratory Management: Authorization requests for RMHP Medicare members can no longer be submitted on the web portal & must be submitted telephonically. All other lines of business can continue to submit requests on the web portal.
  • Radiology & Cardiology: EviCore will no longer collect rendering site for RMHP Medicare membership.

There are currently no General Resources.

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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.

Register for Online Portal Orientation Session

Evidence-Based Clinical Guidelines