HealthSpring (Health Care Service Corporation)

Prior authorization

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

prior authorization

Prior authorization — medical

Official page read

Phone800-453-4464Fax

866-287-5834

Published hours

Not published in this record

Product, plan and location

medicare advantage
National contact — confirm product and location

Mailing address

HealthSpring Medicare Advantage Attn: Prior Authorization 500 Great Circle Road Nashville, TN 37228

Mailed prior authorization requests.

HealthSpring (Health Care Service Corporation) Medicare Advantage, 2026 participating provider manual. Multi-state, including Central, North and South Florida markets. Preferred submission is the Availity Essentials prior authorization portal (HealthSpring Medicare Advantage payer space). Transplant requests also go to this fax. eviCore handles high-tech radiology, oncology, radiation therapy and musculoskeletal service lines.

View source ↗ · Source checked 2026-10-24

Report an update

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

prior authorization

Prior authorization — Part B drugs and biologics

Official page read

Phone888-454-0013Fax

877-730-3858

Published hours

Not published in this record

Product, plan and location

medicare advantage
National contact — confirm product and location

Mailing address

Not researched for this route

HealthSpring (Health Care Service Corporation) Medicare Advantage, 2026 participating provider manual. Multi-state, including Central, North and South Florida markets. Drugs/biologics Part B prior authorization department.

View source ↗ · Source checked 2026-10-24

Report an update

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

fax prior auth

Inpatient / observation admission notification

Official page read

Phone888-454-0013Fax

866-234-7230

Published hours

Not published in this record

Product, plan and location

medicare advantage
National contact — confirm product and location

Mailing address

Not researched for this route

HealthSpring (Health Care Service Corporation) Medicare Advantage, 2026 participating provider manual. Multi-state, including Central, North and South Florida markets. Facilities submit admission clinicals within 24 hours of notification. Texas CareAllies admissions use different numbers.

View source ↗ · Source checked 2026-10-24

Report an update

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

prior authorization

Florida HMO emergency referral by phone

Official page read

Phone800-962-3016Published hours

Not published in this record

Product, plan and location

medicare advantage
Florida

Mailing address

Not researched for this route

HealthSpring (Health Care Service Corporation) Medicare Advantage, 2026 participating provider manual. Multi-state, including Central, North and South Florida markets. Florida number in the manual's referral-by-phone table, for emergency referrals; routine referrals are submitted through Availity or by mailed form. Central and South Florida HMO plans require referrals.

View source ↗ · Source checked 2026-10-24

Report an update

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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A request does not create an account or start a call. Use business contact information only. No patient information.

Prior authorization

How did your call go?

Share a call experience

Suggest a correction

Make the call count.

Have ready in your secure workspace

Questions to resolve

Found the contact. Still need to make the call?

Put payer follow-upon your office’s worklist.

See how it could work for your practice

Put payer follow-up
on your office’s worklist.