WellSense Health Plan Implementation Resources

There are three methods of requesting a prior authorization.

The portal is the most efficient and preferred method to request authorizations. Not only does it save time, it is available 24/7. Access www.evicore.com .

For web portal training: register at http://evicore.webex.com/

Phone is available primarily for questions but a prior authorization can be initiated by phone. This process does take longer than the portal.

Radiology/Cardiology: 888-693-3211 prompt #4, 844-725-4448 prompt #1

Genetic Testing (Lab Management) 844-725-4448 prompt #2

MSK-Spine, Joint, Pain: 844-725-4448 (prompt #3 Physical Medicine) 

Fax requests are the least preferred method as they will take longer as they follow a manual process.

Radiology/Cardiology Fax: 888-693-3210

Genetic Testing (Lab Management) Fax: 844-545-9213

MSK-Spine, Joint, Pain Fax: 855-774-1319

EviCore healthcare is pleased to announce that it has extended its partnership with WellSense to provide prior authorization services for Genetic Testing and MSK Pain Management, Spine and Joint Surgery for dates of service on and after 3/1/23.

EviCore healthcare is pleased to announce its partnership with WellSense Health Plan to provide authorization services for WellSense recipients for dates of service beginning Sunday, December 1, 2013.

All outpatient elective MR, CT, PET, and Nuclear Cardiac studies performed on or after December 1, 2013 will require prior authorization from EviCore healthcare.