Prior authorization

For participating providers requesting advanced diagnostic imaging authorizations, changes or add-on procedures. Applies to Priority Health plans except Medigap and the situational exceptions listed on the source page, including Gentex group 783589. Out-of-network providers must use the Medical Prior Authorization form; phone authorizations are not offered to them. The current authorization index directs MSK, spine and joint surgery to TurningPoint. Outside business hours, urgent callers may leave a message.

Use the plan-specific EviCore case-initiation phone or portal. The currently designated Moda guide lists the fax for case initiation and additional radiology, cardiology and MSK spine/joint/pain clinical information. Therapy and molecular-testing clinical submissions have separate faxes; this record does not generalize the imaging/MSK fax to those services. The current Oregon Moda page confirms this phone for advanced imaging and MSK requests. No staffed hours or authorization email are established by these sources.

Current Cigna precertification table publishes this number for DME including orthotics/prosthetics, EIU/outpatient surgery/unlisted/cosmetic procedures, home health, integrated oncology, molecular laboratory, musculoskeletal, radiation therapy, sleep and vascular intervention. Confirm the exact service and plan. This current service-specific table differs from the older October 2025 general contact table; do not treat the older alternatives as equivalent. The October 31, 2025 contact table separately routes CareLink customers in Massachusetts/Rhode Island and Cigna customers in Hawaii/Puerto Rico to 800-882-4462. The current service-specific page does not explicitly resolve those market exceptions; confirm the patient ID card and plan before using this EviCore route.

Current Cigna service-specific precertification table. Conflicts with the broader diagnostic-imaging/GI number in the October 2025 contact table; this record follows the current service-specific page. Confirm member plan/service. The October 31, 2025 contact table separately routes CareLink customers in Massachusetts/Rhode Island and Cigna customers in Hawaii/Puerto Rico to 800-882-4462. The current service-specific page does not explicitly resolve those market exceptions; confirm the patient ID card and plan before using this EviCore route.

Current Cigna service-specific table for high-/low-technology radiology and diagnostic cardiac imaging. Digits differ from 888-693-3297 in the October 2025 contact table. Preserve that discrepancy; this record follows the current service-specific page. Confirm member plan/service. The October 31, 2025 contact table separately routes CareLink customers in Massachusetts/Rhode Island and Cigna customers in Hawaii/Puerto Rico to 800-882-4462. The current service-specific page does not explicitly resolve those market exceptions; confirm the patient ID card and plan before using this EviCore route.