WebeviCore Health Care. Cardiology Imaging Program. Molecular and Genomic Testing Program. Musculoskeletal Program for Pain Management Services. Radiation Therapy Program. Radiology/Imaging Services. Horizon Behavioral Health. Horizon Care@Home. Horizon Supportive Care Program. WebThe correct eviCore PA fax number is (800) 540-2406. Molina will also be updating the eviCore PA fax number on the following documents located on the Provider Website, under the “Forms” tab: • Prior Authorization Request Form • Authorization Reconsideration Request Form Please update your documents to the correct fax number.

Fill - Authorization Fax Form (eviCore)

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Webcondition), download it, and fax it to the number on the form. • Phone: Call 866.759.1557. Or another participating specialty home infusion provider. For assistance finding a participating specialty home infusion provider, call eviCore at 800.298.4806 or the number on the back of the customer ID card. Contact information Care coordination ... WebFor questions, please contact eviCore healthcare at 1-800-646-0418 (Option 4) or Select Health Provider Services at 1-800-741-6605. Prior authorization is not a guarantee of payment for the service (s) authorized. Select Health reserves the right to adjust any payment made following a review of the medical record and/or determination of medical ... WebeviCore’s new electronic prior authorization eviCore intelliPath is already being deployed inside the existing prior authorization workflow and by provider organizations to automate and simplify the process of … samsung tablet mit windows 11