Wellpoint (Elevance Health state plans)

Prior authorization

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

prior authorization

Prior authorization — Texas federal and state plans (and Carelon for imaging/cardiology/genetics/sleep/radiation oncology)

Official page read
Phone833-342-1260Published hours

Not published in this record

Product, plan and location

medicaid · chip · medicare advantage
Texas

Mailing address

Not researched for this route

Phone listed for federal/state plan PA; quick contact guide lists the same number for Carelon Medical Benefits Management (cardiology, genetic testing, radiation oncology, high-tech radiology, sleep studies). Availity Authorizations & Referrals preferred.

View source ↗ · Source checked 2026-10-24

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

prior authorization

Wellpoint Tennessee diagnostic imaging precertification (Carelon Medical Benefits Management)

Official page read
Phone844-767-8159Published hours

Not published in this record

Product, plan and location

medicaid · chip
Tennessee

Mailing address

Not researched for this route

CTA, MRA, MRI, CAT, nuclear cardiology, stress/transesophageal echo, echocardiogram and PET precertification through Carelon (or providerportal.com).

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.

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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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