Remember to verify member eligibility and benefits prior to the service. The following are resources for determining referral and authorization requirements:
Providers who are contracted directly with AllWays Health Partners must submit referral and prior authorization requests online through our Provider Portal. (note: services managed by a vendor should be submitted directly to the vendor - see below)
Referral and Authorization Submission User Guides:
Providers who are not contracted directly with AllWays Health Partners can now submit medical authorization requests online through this authorization request form. This includes:
(note: services managed by a vendor should be submitted directly to the vendor - see below)
Authorization requests for the following services are managed through a vendor partner:
Behavioral Health Services (managed by Optum)
Provider Service (PHS Employee Plans): 844-451-3520
Provider Service (All Other Plans): 844-451-3518
Visit the Optum Provider Express Portal for more information and to submit prior authorization requests.
Pharmacy Services (managed by CVS Caremark)
Partners HealthCare Employee Plan Requests
Specialty Drug Requests (All Other Plans)
Non-Specialty Drug Requests
Medical Specialty Drugs (managed by NovoLogix)
Provider Service: 844-345-2803
Sleep Management Program (managed by CareCentrix)
Provider Service: 866-827-5861
Visit the CareCentrix portal for more information and to submit prior authorization requests.
High-Tech Radiology, Cardiac Imaging and Diagnostic Services, Molecular and Genetic Testing, Radiation Therapy (managed by eviCore)
Provider Service: 888-693-3211
Visit the eviCore Provider Portal for more information and to submit prior authorization requests.