NIA / Evolent (formerly Magellan)

Prior authorization

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

prior authorization

Evolent — Absolute Total Care - Medicaid — prior authorization call center

Official page read
Phone866-312-9729

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicaid
South Carolina

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Absolute Total Care - Medicaid members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging and Cardiology Program, Interventional Cardiovascular Program, Interventional Pain Management Program, Musculoskeletal Program, Physical Medicine Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Absolute Total Care - Medicare — prior authorization call center

Official page read
Phone800-424-1718

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicare advantage
South Carolina

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Absolute Total Care - Medicare members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging and Cardiology Program, Interventional Cardiovascular Program, Interventional Pain Management Program, Musculoskeletal Program, Physical Medicine Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Absolute Total Care - Medicare Duals — prior authorization call center

Official page read
Phone866-510-9460

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

dsnp
South Carolina

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Absolute Total Care - Medicare Duals members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging and Cardiology Program, Interventional Cardiovascular Program, Interventional Pain Management Program, Musculoskeletal Program, Physical Medicine Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Ambetter from Absolute Total Care — prior authorization call center

Official page read
Phone800-424-4920

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

exchange
South Carolina

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Ambetter from Absolute Total Care members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Interventional Cardiovascular Program, Interventional Pain Management Program, Musculoskeletal Program, Physical Medicine Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Ambetter from Arkansas Health & Wellness — prior authorization call center

Official page read
Phone800-424-4908

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

exchange
Arkansas

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Ambetter from Arkansas Health & Wellness members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Physical Medicine Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Ambetter from Buckeye Community Health Plan — prior authorization call center

Official page read
Phone800-424-4915

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

exchange
Ohio

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Ambetter from Buckeye Community Health Plan members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Musculoskeletal Program, Physical Medicine Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Ambetter from Coordinated Care — prior authorization call center

Official page read
Phone800-424-4918

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

exchange
Washington

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Ambetter from Coordinated Care members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Interventional Cardiovascular Program, Interventional Pain Management Program, Musculoskeletal Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Ambetter from Home State Health Plan — prior authorization call center

Official page read
Phone800-424-4794

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

exchange
Missouri

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Ambetter from Home State Health Plan members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Musculoskeletal Program, Physical Medicine Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Ambetter from Louisiana Healthcare Connections — prior authorization call center

Official page read
Phone800-424-9231

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

exchange
Louisiana

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Ambetter from Louisiana Healthcare Connections members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced and Cardiac Imaging Program, Musculoskeletal and Interventional Pain Management Program, Physical Medicine Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Ambetter from Magnolia Health — prior authorization call center

Official page read
Phone800-424-4912

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

exchange
Mississippi

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Ambetter from Magnolia Health members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging and Cardiology Program, Interventional Pain Management Program, Musculoskeletal Program, Physical Medicine Program. The plan page also posts program changes or sunsets; read it before calling. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Ambetter from Managed Health Services / Ambetter from MHS — prior authorization call center

Official page read
Phone800-424-4887

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

exchange
Indiana

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Ambetter from Managed Health Services and Ambetter from MHS members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Interventional Pain Management Program, Musculoskeletal Program, Physical Medicine Program. The plan page also posts program changes or sunsets; read it before calling. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims. The Evolent list shows the same number for each of these plans.

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

prior authorization

Evolent — Ambetter from Meridian — prior authorization call center

Official page read
Phone800-424-5686

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

exchange
Michigan

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Ambetter from Meridian members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Cardiology Program, Interventional Pain Management Program, Musculoskeletal Program, Physical Medicine Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Ambetter from Nebraska Total Care — prior authorization call center

Official page read
Phone800-424-9232

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

exchange
Nebraska

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Ambetter from Nebraska Total Care members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Cardiology Program, Physical Medicine Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Ambetter from Oklahoma Complete Health — prior authorization call center

Official page read
Phone800-509-1842

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

exchange
Oklahoma

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Ambetter from Oklahoma Complete Health members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging and Cardiology Program, Physical Medicine Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Ambetter from Peach State Health Plan — prior authorization call center

Official page read
Phone800-424-4910

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

exchange
Georgia

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Ambetter from Peach State Health Plan members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Interventional Pain Management Program, Musculoskeletal Program, Physical Medicine Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Ambetter from Pennsylvania Health & Wellness — prior authorization call center

Official page read
Phone866-500-7750

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

exchange
Pennsylvania

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Ambetter from Pennsylvania Health & Wellness members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Interventional Pain Management Program, Musculoskeletal Program, Physical Medicine Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Ambetter from SilverSummit Healthplan — prior authorization call center

Official page read
Phone800-424-4793

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

exchange
Nevada

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Ambetter from SilverSummit Healthplan members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Physical Medicine Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Ambetter from Sunflower Health Plan — prior authorization call center

Official page read
Phone800-424-4801

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

exchange
Kansas

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Ambetter from Sunflower Health Plan members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Musculoskeletal and Interventional Pain Management Program, Physical Medicine Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Ambetter from Sunshine Health — prior authorization call center

Official page read
Phone800-424-4909

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

exchange
Florida

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Ambetter from Sunshine Health members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Musculoskeletal Program, Physical Medicine Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Ambetter from Superior Health Plan — prior authorization call center

Official page read
Phone800-424-4916

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

exchange
Texas

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Ambetter from Superior Health Plan members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Genetic Testing Program, Interventional Cardiology Program, Interventional Pain Management Program, Musculoskeletal Program, Physical Medicine Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Ambetter from WellCare of Kentucky — prior authorization call center

Official page read
Phone800-424-9230

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

exchange
Kentucky

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Ambetter from WellCare of Kentucky members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging and Cardiology Program, Interventional Pain Management Program, Physical Medicine Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Ambetter from WellCare of New Jersey — prior authorization call center

Official page read
Phone800-642-7821

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

exchange
New Jersey

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Ambetter from WellCare of New Jersey members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Cardiology Program, Interventional Pain Management Program, Musculoskeletal Program, Physical Medicine Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Ambetter Health (Iowa) — prior authorization call center

Official page read
Phone800-642-2804

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

exchange
Iowa

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Ambetter Health (Iowa) members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging and Cardiology Program, Interventional Pain Management / Musculoskeletal Surgery Program, Physical Medicine Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Ambetter Health of Delaware — prior authorization call center

Official page read
Phone866-512-5148

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

exchange
Delaware

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Ambetter Health of Delaware members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Interventional Pain Management Program, Musculoskeletal Program, Physical Medicine Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Ambetter New Hampshire Healthy Families — prior authorization call center

Official page read
Phone888-899-7805

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

exchange
New Hampshire

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Ambetter New Hampshire Healthy Families members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Musculoskeletal and Interventional Pain Management Program, Physical Medicine Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Ambetter of Alabama — prior authorization call center

Official page read
Phone800-278-0103

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

exchange
Alabama

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Ambetter of Alabama members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Cardiology Program, Musculoskeletal Program, Physical Medicine Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Ambetter of Illinois — prior authorization call center

Official page read
Phone866-430-0070

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

exchange
Illinois

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Ambetter of Illinois members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Musculoskeletal and Interventional Pain Management Program, Physical Medicine Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Ambetter of North Carolina, Inc. — prior authorization call center

Official page read
Phone800-424-4948

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

exchange
North Carolina

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Ambetter of North Carolina, Inc. members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Cardiology Program, Interventional Pain Management Program, Physical Medicine Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Ambetter of Tennessee — prior authorization call center

Official page read
Phone800-424-4945

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

exchange
Tennessee

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Ambetter of Tennessee members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Musculoskeletal and Interventional Pain Management Program, Physical Medicine Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — AmeriHealth Caritas Delaware — prior authorization call center

Official page read
Phone800-424-4791

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicaid
Delaware

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for AmeriHealth Caritas Delaware members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging and Cardiology Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — AmeriHealth Caritas District of Columbia — prior authorization call center

Official page read
Phone877-517-9177

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicaid
District of Columbia

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for AmeriHealth Caritas District of Columbia members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — AmeriHealth Caritas Florida — prior authorization call center

Official page read
Phone866-326-6303

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicaid
Florida

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for AmeriHealth Caritas Florida members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

View source ↗ · Source checked 2026-10-25

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

prior authorization

Evolent — AmeriHealth Caritas Louisiana — prior authorization call center

Official page read
Phone800-424-4897

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicaid
Louisiana

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for AmeriHealth Caritas Louisiana members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced and Cardiology Imaging Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — AmeriHealth Caritas Louisiana - Medicare Duals — prior authorization call center

Official page read
Phone888-642-4812

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

dsnp
Louisiana

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for AmeriHealth Caritas Louisiana - Medicare Duals members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced and Cardiology Imaging Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — AmeriHealth Caritas New Hampshire — prior authorization call center

Official page read
Phone800-424-4784

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicaid
New Hampshire

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for AmeriHealth Caritas New Hampshire members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging and Cardiology Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — AmeriHealth Caritas Next Delaware — prior authorization call center

Official page read
Phone800-327-1193

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

exchange
Delaware

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for AmeriHealth Caritas Next Delaware members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — AmeriHealth Caritas Next Florida — prior authorization call center

Official page read
Phone800-327-1187

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

exchange
Florida

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for AmeriHealth Caritas Next Florida members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — AmeriHealth Caritas Next Louisiana — prior authorization call center

Official page read
Phone800-642-7820

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

exchange
Louisiana

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for AmeriHealth Caritas Next Louisiana members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — AmeriHealth Caritas Next of North Carolina — prior authorization call center

Official page read
Phone800-424-4792

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

exchange
North Carolina

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for AmeriHealth Caritas Next of North Carolina members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — AmeriHealth Caritas North Carolina — prior authorization call center

Official page read
Phone800-424-4953

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicaid
North Carolina

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for AmeriHealth Caritas North Carolina members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced and Cardiac Imaging Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — AmeriHealth Caritas North Carolina - Medicare Duals — prior authorization call center

Official page read
Phone888-642-7649

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

dsnp
North Carolina

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for AmeriHealth Caritas North Carolina - Medicare Duals members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced and Cardiac Imaging Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — AmeriHealth Caritas Ohio — prior authorization call center

Official page read
Phone800-642-7835

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicaid
Ohio

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for AmeriHealth Caritas Ohio members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — AmeriHealth Caritas Pennsylvania — prior authorization call center

Official page read
Phone800-424-5657

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicaid
Pennsylvania

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for AmeriHealth Caritas Pennsylvania members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Cardiology Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — AmeriHealth Caritas Pennsylvania - MTLSS — prior authorization call center

Official page read
Phone800-424-4790

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicaid
Pennsylvania

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for AmeriHealth Caritas Pennsylvania - MTLSS members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Cardiology Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — AmeriHealth Caritas Pennsylvania Community HealthChoices / Keystone First Community HealthChoices — prior authorization call center

Official page read
Phone877-907-2363

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicaid
Pennsylvania

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for AmeriHealth Caritas Pennsylvania Community HealthChoices and Keystone First Community HealthChoices members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Cardiology Program. RadMD plan page lists program materials for: Advanced Imaging Program, Cardiology Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims. The Evolent list shows the same number for each of these plans.

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

prior authorization

Evolent — AmeriHealth Caritas VIP Care Delaware — prior authorization call center

Official page read
Phone800-424-1665

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

dsnp
Delaware

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for AmeriHealth Caritas VIP Care Delaware members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — AmeriHealth Caritas VIP Care Florida — prior authorization call center

Official page read
Phone800-424-1668

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

dsnp
Florida

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for AmeriHealth Caritas VIP Care Florida members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — AmeriHealth Caritas VIP Care Pennsylvania — prior authorization call center

Official page read
Phone800-424-4922

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

dsnp
Pennsylvania

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for AmeriHealth Caritas VIP Care Pennsylvania members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — AmeriHealth Caritas VIP Care Plus Michigan — prior authorization call center

Official page read
Phone866-272-4085

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

dsnp
Michigan

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for AmeriHealth Caritas VIP Care Plus Michigan members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Arizona Complete Health – Exchange — prior authorization call center

Official page read
Phone800-424-4806

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

exchange
Arizona

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Arizona Complete Health – Exchange members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Cardiology Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Arizona Complete Health – Medicaid — prior authorization call center

Official page read
Phone800-424-4816

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicaid
Arizona

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Arizona Complete Health – Medicaid members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Cardiology Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Arizona Complete Health – Medicare — prior authorization call center

Official page read
Phone800-424-4820

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicare advantage
Arizona

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Arizona Complete Health – Medicare members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Cardiology Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Arizona Complete Health – Medicare Duals — prior authorization call center

Official page read
Phone866-510-4240

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

dsnp
Arizona

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Arizona Complete Health – Medicare Duals members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Cardiology Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Arkansas Health & Wellness - Medicare — prior authorization call center

Official page read
Phone800-424-5671

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicare advantage
Arkansas

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Arkansas Health & Wellness - Medicare members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Physical Medicine Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Arkansas Total Care — prior authorization call center

Official page read
Phone866-500-7685

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicaid
Arkansas

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Arkansas Total Care members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Cardiology Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Blue Cross Complete of Michigan — prior authorization call center

Official page read
Phone800-424-5351

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicaid
Michigan

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Blue Cross Complete of Michigan members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging and Cardiology Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Blue Shield of California — prior authorization call center

Official page read
Phone888-642-2583

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
California

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Blue Shield of California members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Musculoskeletal and Interventional Pain Management Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — BlueChoice HealthPlan of South Carolina - Commercial/Exchange — prior authorization call center

Official page read
Phone888-642-9181

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

commercial · exchange
South Carolina

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for BlueChoice HealthPlan of South Carolina - Commercial/Exchange members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Interventional Pain Management Program, Musculoskeletal Program, Radiation Oncology Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — BlueCross BlueShield of Nebraska — prior authorization call center

Official page read
Phone866-972-9642

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

commercial
Nebraska

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for BlueCross BlueShield of Nebraska members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Musculoskeletal and Interventional Pain Management Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — BlueCross BlueShield of Nebraska - Medicare — prior authorization call center

Official page read
Phone800-424-4956

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicare advantage
Nebraska

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for BlueCross BlueShield of Nebraska - Medicare members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Musculoskeletal and Interventional Pain Management Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — BlueCross BlueShield of South Carolina - Fully Insured and State Health Plan — prior authorization call center

Official page read
Phone866-500-7664

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

commercial
South Carolina

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for BlueCross BlueShield of South Carolina - Fully Insured and State Health Plan members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Musculoskeletal and Interventional Pain Management Program, Radiation Oncology Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — BlueCross BlueShield of South Carolina - Publix members — prior authorization call center

Official page read
Phone888-642-4810

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

commercial
South Carolina

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for BlueCross BlueShield of South Carolina - Publix members members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Musculoskeletal and Interventional Pain Management Program, Radiation Oncology Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — BlueCross BlueShield of Tennessee - Medicare Advantage — prior authorization call center

Official page read
Phone800-424-4879

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicare advantage
Tennessee

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for BlueCross BlueShield of Tennessee - Medicare Advantage members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — BlueCross BlueShield of Tennessee - Medicare DSNP — prior authorization call center

Official page read
Phone800-424-4871

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

dsnp
Tennessee

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for BlueCross BlueShield of Tennessee - Medicare DSNP members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Buckeye Community Health Plan - Medicaid — prior authorization call center

Official page read
Phone800-642-6551

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicaid
Ohio

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Buckeye Community Health Plan - Medicaid members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Cardiology Program, Musculoskeletal Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Buckeye Community Health Plan - Medicare — prior authorization call center

Official page read
Phone800-424-4158

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicare advantage
Ohio

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Buckeye Community Health Plan - Medicare members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Cardiology Program, Musculoskeletal Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Buckeye Community Health Plan - Medicare Duals — prior authorization call center

Official page read
Phone866-510-6520

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

dsnp
Ohio

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Buckeye Community Health Plan - Medicare Duals members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Cardiology Program, Musculoskeletal Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Capital Blue Cross — prior authorization call center

Official page read
Phone888-203-1423

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
Pennsylvania

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Capital Blue Cross members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging and Cardiology Program, Radiation Oncology Program. The plan page also posts program changes or sunsets; read it before calling. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — CareSource Georgia - Marketplace/Exchange — prior authorization call center

Official page read
Phone800-424-5358

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

exchange
Georgia

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for CareSource Georgia - Marketplace/Exchange members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Advanced and Cardiac Imaging Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — CareSource Georgia - Medicaid — prior authorization call center

Official page read
Phone866-392-5173

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicaid
Georgia

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for CareSource Georgia - Medicaid members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Advanced and Cardiac Imaging Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — CareSource Georgia - Medicare / CareSource Indiana - Medicare / CareSource Ohio - MyCare Ohio — prior authorization call center

Official page read
Phone866-642-9701

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicare advantage · dsnp
Georgia · Indiana · Ohio

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for CareSource Georgia - Medicare and CareSource Indiana - Medicare and CareSource Ohio - MyCare Ohio members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Advanced and Cardiac Imaging Program. RadMD plan page lists program materials for: Advanced Imaging Program, Advanced and Cardiac Imaging Program. RadMD plan page lists program materials for: Advanced and Cardiac Imaging Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims. The Evolent list shows the same number for each of these plans.

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

prior authorization

Evolent — CareSource Georgia - Medicare DSNP — prior authorization call center

Official page read
Phone800-873-2775

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

dsnp
Georgia

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for CareSource Georgia - Medicare DSNP members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Advanced and Cardiac Imaging Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — CareSource Indiana - Marketplace/Exchange — prior authorization call center

Official page read
Phone800-424-5664

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

exchange
Indiana

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for CareSource Indiana - Marketplace/Exchange members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Advanced and Cardiac Imaging Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — CareSource Indiana - Medicaid — prior authorization call center

Official page read
Phone800-424-4883

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicaid
Indiana

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for CareSource Indiana - Medicaid members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Advanced and Cardiac Imaging Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — CareSource Mississippi – TrueCare — prior authorization call center

Official page read
Phone888-879-5923

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicaid
Mississippi

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for CareSource Mississippi – TrueCare members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging and Diagnostic Cardiology Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — CareSource Nevada - Medicaid — prior authorization call center

Official page read
Phone800-424-4906

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicaid
Nevada

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for CareSource Nevada - Medicaid members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — CareSource Nevada - Medicare — prior authorization call center

Official page read
Phone800-424-4861

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicare advantage
Nevada

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for CareSource Nevada - Medicare members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — CareSource Ohio - Marketplace/Exchange — prior authorization call center

Official page read
Phone800-424-5660

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

exchange
Ohio

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for CareSource Ohio - Marketplace/Exchange members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced and Cardiac Imaging Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — CareSource Ohio - Medicare — prior authorization call center

Official page read
Phone800-424-4884

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicare advantage
Ohio

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for CareSource Ohio - Medicare members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced and Cardiac Imaging Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — CareSource PASSE (Arkansas) — prior authorization call center

Official page read
Phone800-424-4313

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicaid
Arkansas

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for CareSource PASSE (Arkansas) members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Cardiology Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — CareSource TriCare (Atlanta/Tampa) — prior authorization call center

Official page read
Phone800-424-5381

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

tricare
Georgia · Florida

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for CareSource TriCare (Atlanta/Tampa) members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — CareSource West Virginia - Marketplace/Exchange — prior authorization call center

Official page read
Phone800-424-1746

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

exchange
West Virginia

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for CareSource West Virginia - Marketplace/Exchange members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Cardiology Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Carolina Complete Health — prior authorization call center

Official page read
Phone800-424-4889

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicaid
North Carolina

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Carolina Complete Health members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Cardiology Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Common Ground Healthcare Cooperative — prior authorization call center

Official page read
Phone866-500-7704

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

exchange
Wisconsin

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Common Ground Healthcare Cooperative members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — CommunityCare Oklahoma - Commercial — prior authorization call center

Official page read
Phone888-899-7804

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

commercial
Oklahoma

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for CommunityCare Oklahoma - Commercial members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging and Cardiology Program, Musculoskeletal Surgery and Interventional Pain Management Program, Physical Medicine Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — CommunityCare Oklahoma - Medicare — prior authorization call center

Official page read
Phone888-899-7803

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicare advantage
Oklahoma

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for CommunityCare Oklahoma - Medicare members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging and Cardiology Program, Musculoskeletal Surgery and Interventional Pain Management Program, Physical Medicine Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — ConnectiCare - Non-Core (Commercial) — prior authorization call center

Official page read
Phone877-607-2363

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

commercial
Connecticut

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for ConnectiCare - Non-Core (Commercial) members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Cardiology Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Coordinated Care — prior authorization call center

Official page read
Phone800-727-8627

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicaid
Washington

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Coordinated Care members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Interventional Cardiovascular Program, Interventional Pain Management Program, Musculoskeletal Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — CountyCare — prior authorization call center

Official page read
Phone800-424-1732

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicaid
Illinois

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for CountyCare members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Delaware First Health - Medicaid — prior authorization call center

Official page read
Phone800-424-1655

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicaid
Delaware

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Delaware First Health - Medicaid members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Cardiology Program, Interventional Pain Management Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Fidelis Care (NJ) – Medicaid / Wellcare of New Jersey - Medicaid — prior authorization call center

Official page read
Phone866-249-1585

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicaid
New Jersey

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Fidelis Care (NJ) – Medicaid and Wellcare of New Jersey - Medicaid members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Cardiology Program, Interventional Pain Management Program, Musculoskeletal Program, Physical Medicine Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims. The Evolent list shows the same number for each of these plans.

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

prior authorization

Evolent — Fidelis Care (NY) – Medicaid — prior authorization call center

Official page read
Phone800-424-4952

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicaid
New York

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Fidelis Care (NY) – Medicaid members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Cardiology Program, Musculoskeletal Program, Physical Medicine Program, Radiation Oncology Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Fidelis Care (NY) – Medicare — prior authorization call center

Official page read
Phone800-424-5390

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicare advantage
New York

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Fidelis Care (NY) – Medicare members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Cardiology Program, Musculoskeletal Program, Physical Medicine Program, Radiation Oncology Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — First Choice Next (AmeriHealth) — prior authorization call center

Official page read
Phone800-327-1209

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

exchange
South Carolina

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for First Choice Next (AmeriHealth) members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — First Choice VIP Care (AmeriHealth) — prior authorization call center

Official page read
Phone800-424-4788

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

dsnp
South Carolina

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for First Choice VIP Care (AmeriHealth) members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — First Choice VIP Care Plus (AmeriHealth) — prior authorization call center

Official page read
Phone888-642-4814

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

dsnp
South Carolina

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for First Choice VIP Care Plus (AmeriHealth) members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Harvard Pilgrim Health Care — prior authorization call center

Official page read
Phone800-642-7543

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
Massachusetts · New Hampshire · Maine · Connecticut

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Harvard Pilgrim Health Care members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging, Diagnostic Cardiology and Sleep Program, Musculoskeletal and Interventional Pain Management Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — HealthNet of California — prior authorization call center

Official page read
Phone800-424-4809

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
California

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for HealthNet of California members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging and Cardiology Program, CalViva Health - Advanced Imaging and Cardiology Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — HealthNet of California Exchange — prior authorization call center

Official page read
Phone800-424-4802

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

exchange
California

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for HealthNet of California Exchange members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging and Cardiology Program, CalViva Health - Advanced Imaging and Cardiology Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — HealthNet of California/CalViva Health — prior authorization call center

Official page read
Phone866-642-9700

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicaid
California

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for HealthNet of California/CalViva Health members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging and Cardiology Program, CalViva Health - Advanced Imaging and Cardiology Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — HealthNet of California/Community Health Plan of Imperial Valley — prior authorization call center

Official page read
Phone855-510-3720

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicaid
California

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for HealthNet of California/Community Health Plan of Imperial Valley members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging and Cardiology Program, CalViva Health - Advanced Imaging and Cardiology Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — HealthNet of Oregon — prior authorization call center

Official page read
Phone800-424-4811

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
Oregon

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for HealthNet of Oregon members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Cardiology Program, Musculoskeletal Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — HealthNet of Oregon – Medicare — prior authorization call center

Official page read
Phone800-424-4813

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicare advantage
Oregon

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for HealthNet of Oregon – Medicare members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Cardiology Program, Musculoskeletal Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Healthy Blue — prior authorization call center

Official page read
Phone855-569-6749

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
National contact — confirm product and location

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Healthy Blue members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Interventional Pain Management Program, Musculoskeletal Program, Radiation Oncology Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Healthy DC — prior authorization call center

Official page read
Phone888-660-4705

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicaid
District of Columbia

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Healthy DC members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

View source ↗ · Source checked 2026-10-25

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

prior authorization

Evolent — HMSA (Hawai’i Medical Service Association) — prior authorization call center

Official page read
Phone866-306-9729

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
Hawaii

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for HMSA (Hawai’i Medical Service Association) members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging and Cardiology Program, Interventional Pain Management Program, Musculoskeletal Program, Physical Medicine Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Home State Health Plan – Medicaid — prior authorization call center

Official page read
Phone800-308-2615

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicaid
Missouri

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Home State Health Plan – Medicaid members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Cardiology Program, Musculoskeletal Program, Physical Medicine Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Home State Health Plan – Medicare — prior authorization call center

Official page read
Phone800-424-4825

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicare advantage
Missouri

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Home State Health Plan – Medicare members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Cardiology Program, Musculoskeletal Program, Physical Medicine Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Home State Health Plan - Medicare Duals — prior authorization call center

Official page read
Phone866-642-9708

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

dsnp
Missouri

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Home State Health Plan - Medicare Duals members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Cardiology Program, Musculoskeletal Program, Physical Medicine Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Home State Health Plan - Show Me Healthy Kids — prior authorization call center

Official page read
Phone800-327-0796

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicaid
Missouri

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Home State Health Plan - Show Me Healthy Kids members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Cardiology Program, Musculoskeletal Program, Physical Medicine Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Independent Health — prior authorization call center

Official page read
Phone800-642-7452

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
New York

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Independent Health members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced and Cardiac Imaging Program, Interventional Cardiovascular Program, Physical Medicine Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Iowa Total Care — prior authorization call center

Official page read
Phone866-493-9441

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicaid
Iowa

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Iowa Total Care members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Cardiology Program, Interventional Pain Management Program, Physical Medicine Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Keystone First - CHIP — prior authorization call center

Official page read
Phone800-424-1779

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

chip
Pennsylvania

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Keystone First - CHIP members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Cardiology Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Keystone First - Medicaid — prior authorization call center

Official page read
Phone800-642-2602

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicaid
Pennsylvania

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Keystone First - Medicaid members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Cardiology Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Keystone First VIP Choice - Medicare — prior authorization call center

Official page read
Phone866-272-4086

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

dsnp
Pennsylvania

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Keystone First VIP Choice - Medicare members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Louisiana Healthcare Connections - Medicaid — prior authorization call center

Official page read
Phone866-326-6301

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicaid
Louisiana

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Louisiana Healthcare Connections - Medicaid members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Cardiac Program, Interventional Pain Management Program, Musculoskeletal Program, Physical Medicine Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Louisiana Healthcare Connections - Medicare — prior authorization call center

Official page read
Phone800-424-4824

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicare advantage
Louisiana

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Louisiana Healthcare Connections - Medicare members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Cardiac Program, Interventional Pain Management Program, Musculoskeletal Program, Physical Medicine Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Magnolia Health Plan – Medicaid — prior authorization call center

Official page read
Phone877-864-7237

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicaid
Mississippi

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Magnolia Health Plan – Medicaid members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging and Cardiology Program, Interventional Pain Management Program, Physical Medicine Program. The plan page also posts program changes or sunsets; read it before calling. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Managed Health Services - Medicaid — prior authorization call center

Official page read
Phone866-904-5096

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicaid
Indiana

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Managed Health Services - Medicaid members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Interventional Pain Management Program, Musculoskeletal Program, Physical Medicine Program. The plan page also posts program changes or sunsets; read it before calling. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Managed Health Services - Medicare — prior authorization call center

Official page read
Phone800-424-4821

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicare advantage
Indiana

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Managed Health Services - Medicare members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Interventional Pain Management Program, Musculoskeletal Program, Physical Medicine Program. The plan page also posts program changes or sunsets; read it before calling. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Managed Health Services - Medicare DSNP — prior authorization call center

Official page read
Phone800-424-4213

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

dsnp
Indiana

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Managed Health Services - Medicare DSNP members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Interventional Pain Management Program, Musculoskeletal Program, Physical Medicine Program. The plan page also posts program changes or sunsets; read it before calling. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Maryland Physicians Care — prior authorization call center

Official page read
Phone800-424-4836

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicaid
Maryland

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Maryland Physicians Care members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Cardiology Program, Interventional Pain Management Program, Physical Medicine Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Meridian Complete Michigan — prior authorization call center

Official page read
Phone800-424-4926

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

dsnp
Michigan

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Meridian Complete Michigan members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced and Cardiac Imaging Program, Interventional Pain Management Program, Musculoskeletal Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Meridian Health Illinois – Medicaid — prior authorization call center

Official page read
Phone866-214-2493

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicaid
Illinois

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Meridian Health Illinois – Medicaid members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Meridian Health Illinois – MMP — prior authorization call center

Official page read
Phone866-642-9704

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

dsnp
Illinois

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Meridian Health Illinois – MMP members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Meridian Health Illinois – YouthCare HealthChoice of Illinois — prior authorization call center

Official page read
Phone866-298-9729

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicaid
Illinois

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Meridian Health Illinois – YouthCare HealthChoice of Illinois members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Meridian Health Michigan - Medicaid — prior authorization call center

Official page read
Phone866-842-1767

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicaid
Michigan

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Meridian Health Michigan - Medicaid members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced and Cardiac Imaging Program, Interventional Pain Management Program, Musculoskeletal Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Molina Healthcare - Marketplace/Exchange — prior authorization call center

Official page read
Phone800-642-1716

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

exchange
National contact — confirm product and location

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Molina Healthcare - Marketplace/Exchange members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Molina Healthcare - Medicaid — prior authorization call center

Official page read
Phone800-442-4169

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicaid
National contact — confirm product and location

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Molina Healthcare - Medicaid members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Molina Healthcare - Medicare — prior authorization call center

Official page read
Phone800-424-6112

Prior authorization requests and status for Evolent-managed services

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

Evolent's published toll-free authorization call center for Molina Healthcare - Medicare members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Molina Healthcare - Medicare Duals — prior authorization call center

Official page read
Phone866-642-9702

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

dsnp
National contact — confirm product and location

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Molina Healthcare - Medicare Duals members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Nebraska Total Care - Medicaid — prior authorization call center

Official page read
Phone800-424-4885

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicaid
Nebraska

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Nebraska Total Care - Medicaid members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Cardiology Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Neighborhood Health Plan of Rhode Island — prior authorization call center

Official page read
Phone877-469-7949

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
Rhode Island

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Neighborhood Health Plan of Rhode Island members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging and Cardiology Program, Interventional Cardiovascular Program, Musculoskeletal Program, Physical Medicine Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — New Hampshire Healthy Families - Medicaid — prior authorization call center

Official page read
Phone800-443-5733

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicaid
New Hampshire

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for New Hampshire Healthy Families - Medicaid members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Cardiology Program, Musculoskeletal and Interventional Pain Management Program, Physical Medicine Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Oklahoma Complete Health – Medicaid — prior authorization call center

Official page read
Phone866-249-1581

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicaid
Oklahoma

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Oklahoma Complete Health – Medicaid members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging and Cardiology Program, Musculoskeletal Surgery and Interventional Pain Management Program. The plan page also posts program changes or sunsets; read it before calling. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Partners Health Management — prior authorization call center

Official page read
Phone800-327-0639

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicaid
North Carolina

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Partners Health Management members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Cardiology Program. The plan page also posts program changes or sunsets; read it before calling. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Peach State Health Plan - Medicare DSNP / Pennsylvania Health & Wellness – Medicare DSNP — prior authorization call center

Official page read
Phone800-424-4898

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

dsnp
Georgia · Pennsylvania

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Peach State Health Plan - Medicare DSNP and Pennsylvania Health & Wellness – Medicare DSNP members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Cardiology Program, Interventional Pain Management Program, Musculoskeletal Program. RadMD plan page lists program materials for: Advanced Imaging Program, Musculoskeletal Program, Interventional Pain Management Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims. The Evolent list shows the same number for each of these plans.

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

prior authorization

Evolent — Peach State Health Plan Medicaid — prior authorization call center

Official page read
Phone888-642-4723

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicaid
Georgia

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Peach State Health Plan Medicaid members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Cardiology Program, Interventional Pain Management Program, Musculoskeletal Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Peach State Health Plan Medicare — prior authorization call center

Official page read
Phone800-424-5631

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicare advantage
Georgia

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Peach State Health Plan Medicare members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Cardiology Program, Interventional Pain Management Program, Musculoskeletal Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Pennsylvania Health & Wellness - CHIP — prior authorization call center

Official page read
Phone800-424-9330

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

chip
Pennsylvania

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Pennsylvania Health & Wellness - CHIP members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Musculoskeletal Program, Interventional Pain Management Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Pennsylvania Health & Wellness – Medicaid — prior authorization call center

Official page read
Phone800-424-4921

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicaid
Pennsylvania

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Pennsylvania Health & Wellness – Medicaid members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Musculoskeletal Program, Interventional Pain Management Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Pennsylvania Health & Wellness – Medicare — prior authorization call center

Official page read
Phone866-642-9705

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicare advantage
Pennsylvania

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Pennsylvania Health & Wellness – Medicare members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Musculoskeletal Program, Interventional Pain Management Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Presbyterian Health Plan — prior authorization call center

Official page read
Phone866-236-8717

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
New Mexico

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Presbyterian Health Plan members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Musculoskeletal Program. The plan page also posts program changes or sunsets; read it before calling. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — QualChoice Health Insurance — prior authorization call center

Official page read
Phone866-249-1587

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

commercial
Arkansas

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for QualChoice Health Insurance members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Select Health of South Carolina — prior authorization call center

Official page read
Phone800-424-4895

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicaid
South Carolina

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Select Health of South Carolina members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Sentara Health Plans — prior authorization call center

Official page read
Phone800-424-1663

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
Virginia

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Sentara Health Plans members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Cardiology Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — SilverSummit Healthplan — prior authorization call center

Official page read
Phone800-424-4841

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicaid
Nevada

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for SilverSummit Healthplan members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Cardiology Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — SilverSummit Healthplan - Medicare — prior authorization call center

Official page read
Phone800-424-4959

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicare advantage
Nevada

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for SilverSummit Healthplan - Medicare members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Cardiology Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — SilverSummit Healthplan - Medicare DSNP/Duals — prior authorization call center

Official page read
Phone800-424-5382

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

dsnp
Nevada

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for SilverSummit Healthplan - Medicare DSNP/Duals members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Cardiology Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Sunflower Health Plan - Medicaid — prior authorization call center

Official page read
Phone877-517-9179

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicaid
Kansas

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Sunflower Health Plan - Medicaid members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Physical Therapy Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Sunflower Health Plan - Medicare Advantage — prior authorization call center

Official page read
Phone800-424-4830

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicare advantage
Kansas

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Sunflower Health Plan - Medicare Advantage members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Physical Therapy Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Sunflower Health Plan - Medicare Advantage PPO — prior authorization call center

Official page read
Phone800-424-5389

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicare advantage
Kansas

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Sunflower Health Plan - Medicare Advantage PPO members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Physical Therapy Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Sunflower Health Plan - Medicare DSNP — prior authorization call center

Official page read
Phone800-424-4808

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

dsnp
Kansas

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Sunflower Health Plan - Medicare DSNP members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Physical Therapy Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Sunshine Health – Children’s Medical Services — prior authorization call center

Official page read
Phone800-424-4954

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicaid
Florida

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Sunshine Health – Children’s Medical Services members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Cardiology Program, Musculoskeletal Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Sunshine Health - Medicaid — prior authorization call center

Official page read
Phone866-214-2569

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicaid
Florida

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Sunshine Health - Medicaid members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Cardiology Program, Musculoskeletal Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Superior Health Plan - Medicaid — prior authorization call center

Official page read
Phone800-642-7554

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicaid
Texas

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Superior Health Plan - Medicaid members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced and Cardiac Imaging Program, Genetic Testing Program, Interventional Cardiology Program, Interventional Pain Management Program, Musculoskeletal Management Program, Physical Medicine Program. The plan page also posts program changes or sunsets; read it before calling. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Superior Health Plan - Medicare / Wellcare by Allwell – Texas — prior authorization call center

Official page read
Phone866-214-1703

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicare advantage
Texas

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Superior Health Plan - Medicare and Wellcare by Allwell – Texas members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced and Cardiac Imaging Program, Genetic Testing Program, Interventional Cardiology Program, Interventional Pain Management Program, Musculoskeletal Management Program, Physical Medicine Program. The plan page also posts program changes or sunsets; read it before calling. RadMD plan page lists program materials for: Advanced and Cardiac Imaging Program, Genetic Testing Program, Interventional Cardiovascular Program, Interventional Pain Management Program, Musculoskeletal Program, Physical Medicine Program. The plan page also posts program changes or sunsets; read it before calling. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims. The Evolent list shows the same number for each of these plans.

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

prior authorization

Evolent — Superior Health Plan - Medicare Duals — prior authorization call center

Official page read
Phone866-510-9630

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

dsnp
Texas

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Superior Health Plan - Medicare Duals members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced and Cardiac Imaging Program, Genetic Testing Program, Interventional Cardiology Program, Interventional Pain Management Program, Musculoskeletal Management Program, Physical Medicine Program. The plan page also posts program changes or sunsets; read it before calling. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Trillium Community Health Plan – Medicaid — prior authorization call center

Official page read
Phone888-879-5922

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicaid
Oregon

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Trillium Community Health Plan – Medicaid members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Cardiology Program, Musculoskeletal Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Trillium Community Health Plan – Medicare — prior authorization call center

Official page read
Phone800-642-2798

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicare advantage
Oregon

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Trillium Community Health Plan – Medicare members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Cardiology Program, Musculoskeletal Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Trillium Health Resources — prior authorization call center

Official page read
Phone800-327-0635

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicaid
North Carolina

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Trillium Health Resources members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Cardiology Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Tufts Health Plan — prior authorization call center

Official page read
Phone866-642-9703

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
Massachusetts

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Tufts Health Plan members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging and Cardiology Program, Musculoskeletal and Interventional Pain Management Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Tufts Health Public Plan — prior authorization call center

Official page read
Phone800-207-4209

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicaid
Massachusetts

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Tufts Health Public Plan members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Cardiology Program, Musculoskeletal and Interventional Pain Management Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Wellcare by Meridian — prior authorization call center

Official page read
Phone866-510-6450

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicare advantage
Michigan

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Wellcare by Meridian members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced and Cardiac Imaging Program, Interventional Pain Management Program, Musculoskeletal Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Wellcare by Nebraska - Medicare — prior authorization call center

Official page read
Phone866-305-9729

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicare advantage
Nebraska

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Wellcare by Nebraska - Medicare members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Cardiology Program, Physical Medicine Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Wellcare by Nebraska - Medicare DSNP — prior authorization call center

Official page read
Phone866-272-4087

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

dsnp
Nebraska

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Wellcare by Nebraska - Medicare DSNP members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Cardiology Program, Physical Medicine Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Wellcare by Ohana Health Plan / Wellcare Medicare (AR, AZ, CT, DE, FL, GA, HI, IL, IN, KY, LA, ME, MI, MO, MS, NC, NE, NJ, NY, OH, OK, SC, TN, TX, WA) — prior authorization call center

Official page read
Phone800-424-5388

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicare advantage
Hawaii · Arkansas · Arizona · Connecticut · Delaware · Florida · Georgia · Illinois · Indiana · Kentucky · Louisiana · Maine · Michigan · Missouri · Mississippi · North Carolina · Nebraska · New Jersey · New York · Ohio · Oklahoma · South Carolina · Tennessee · Texas · Washington

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Wellcare by Ohana Health Plan and Wellcare Medicare (AR, AZ, CT, DE, FL, GA, HI, IL, IN, KY, LA, ME, MI, MO, MS, NC, NE, NJ, NY, OH, OK, SC, TN, TX, WA) members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Interventional Cardiovascular Program, Musculoskeletal Program. RadMD plan page lists program materials for: Advanced and Cardiac Imaging Program, Genetic Testing Program, Interventional Cardiovascular Program, Interventional Pain Management Program, Musculoskeletal Program, Physical Medicine Program. The plan page also posts program changes or sunsets; read it before calling. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims. The Evolent list shows the same number for each of these plans.

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

prior authorization

Evolent — Wellcare of Arizona — prior authorization call center

Official page read
Phone800-424-5365

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
Arizona

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Wellcare of Arizona members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Cardiology Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Wellcare of Delaware — prior authorization call center

Official page read
Phone866-512-5146

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
Delaware

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Wellcare of Delaware members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced Imaging Program, Interventional Pain Management Program, Musculoskeletal Program, Physical Medicine Program. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Wellcare of Kentucky - Medicaid — prior authorization call center

Official page read
Phone866-249-1584

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicaid
Kentucky

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Wellcare of Kentucky - Medicaid members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced and Cardiac Imaging Program, Interventional Cardiovascular Program, Interventional Pain Management Program, Musculoskeletal Program. The plan page also posts program changes or sunsets; read it before calling. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Wellcare of North Carolina – Medicaid — prior authorization call center

Official page read
Phone866-249-1583

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicaid
North Carolina

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Wellcare of North Carolina – Medicaid members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. RadMD plan page lists program materials for: Advanced and Cardiac Imaging Program, Interventional Cardiovascular Program, Interventional Pain Management Program, Musculoskeletal Program. The plan page also posts program changes or sunsets; read it before calling. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

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

prior authorization

Evolent — Wellcare of Oklahoma - Medicare — prior authorization call center

Official page read
Phone800-642-7597

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

medicare advantage
Oklahoma

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Wellcare of Oklahoma - Medicare members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

View source ↗ · Source checked 2026-10-25

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

prior authorization

Evolent — Wellcare of Oklahoma - Medicare DSNP — prior authorization call center

Official page read
Phone800-642-7579

Prior authorization requests and status for Evolent-managed services

Published hours

Not published in this record

Product, plan and location

dsnp
Oklahoma

Mailing address

Not researched for this route

Evolent's published toll-free authorization call center for Wellcare of Oklahoma - Medicare DSNP members (Evolent 'Call Center List', posted 2026-08). For ordering/rendering providers requesting Evolent-managed prior authorizations; Evolent recommends RadMD.com for requests. Covered services and codes vary by plan and product — check the plan's utilization review matrix. Not a member services line and not for claims.

View source ↗ · Source checked 2026-10-25

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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Found the contact. Still need to make the call?

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For the people making the calls

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

Explore DialClerk for queued calls, hold handling, staff handoffs and a record of the next step. Tell us how your team works.

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

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