Authorizations and notifications can be made by the servicing physician or other health care professional through:

  • eviCore's online tool 
  • Phone 1 (855) 252-1115 or by fax at 1 (855) 774-1319, 7 a.m. through 7 p.m. Monday through Friday

View our Authorizations quick reference guide (PDF) for some quick steps on how to initiate an authorization.

Treatment request clinical worksheets

Treatment request clinical worksheets facilitate case handling for all authorization and notification requests. Use the worksheets to gather clinical information required for web or telephone treatment requests. We strongly encourage all providers to submit notifications online.

There is a faxing option when submitting online isn't an option. When faxing treatment requests, select the form that best fits the patient's condition and be sure to complete every applicable section. Incomplete treatment requests may delay clinical review. Instructions for completing the request are included in the guide accompanying each condition-specific treatment request.

Verifying an authorization

To verify the status of an existing pre-authorization or notification request:

  • eviCore's online tool 
  • Phone 1 (855) 252-1115 or by fax at 1 (855) 774-1319, 7 a.m. through 7 p.m. Monday through Friday

Note: Once a notification or treatment request has been completed, the number may be referred to as the authorization number.