AvMed

Prior authorization

Locate authorization teams and submission faxes. Medical, pharmacy and delegated reviews can follow different routes.

fax prior auth

Statewide UM fax — hospitalized member adverse determinations

Official page read
Phone

No phone listed for this route

Fax

904-858-1359

Inpatient additional clinical information after adverse determination.

Published hours

Not published in this record

Product, plan and location

commercial · medicare advantage
Florida

Mailing address

Not researched for this route

For facilities: if an adverse determination is issued and the member is still hospitalized, provide additional information to UM. Discharged cases use the claims appeal process.

View source ↗ · Source checked 2026-10-24

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prior authorization

Outpatient advanced radiology authorization — eviCore for AvMed

Official page read
Phone800-646-0418Published email

clientservices@evicore.com

Published hours

Not published in this record

Product, plan and location

commercial · medicare advantage
Florida

Mailing address

Not researched for this route

Menu guidance in the source record

Option 4

Menus can change. No live call verification is claimed.

Since 1/1/2022 AvMed outpatient advanced radiology (CT, MRI, etc.) authorizations go to eviCore. Other AvMed authorizations move to Availity effective 1/1/26.

View source ↗ · Source checked 2026-10-24

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Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

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Call preparation · editorial guide

Make the call count.

Locate authorization teams and submission faxes. Medical, pharmacy and delegated reviews can follow different routes.

Have ready in your secure workspace

  • Ordering and rendering provider details
  • Service codes, requested dates and units
  • Existing authorization or submission reference

Questions to resolve

  • Is this the correct reviewer for this service and product?
  • Which documents are missing, and where should they be sent?
  • What is the case number and next status-check date?

This is a general administrative checklist, not payer policy or advice about a particular patient. Confirm the current plan instructions.

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