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Requests for cardiology, radiology, pain management, sleep studies, genetic testing and OT/PT services should be routed through eviCore. A complete list of procedure codes requiring review through eviCore can be accessed
here. Requests can be submitted to eviCore via the
eviCore website, by phone at 888-333-8641, or by fax to 800-540-2406.
Requests for medical oncology and radiation therapy services should be routed through HealthHelp. A complete list of procedure codes requiring review by HealthHelp are available at
portal.healthhelp.com/Meridian. Requests can be submitted through the
HealthHelp website, by phone 888-285-0562, or fax 866-203-7271.
Requests for musculoskeletal surgical procedures should be routed through Turning Point. Requests can be submitted through the
Turning Point website. Ohio Providers can also submit by phone 866-611-6951,
or fax 833-807-8925. Michigan providers can also submit by phone 877-659-9496, or fax 833-807-8929.
WellCare ONLY members (Extra and Essential)
Michigan/Ohio Market Providers: For Medical Pharmacy requests, please log into the Provider Portal
to check authorization requirements or submit faxed request to 888-871-0564.
For Behavioral Health requests, please log into the Provider Portal to check authorization requirements, or submit a request. Behavioral health requests may be submitted via fax to: 1-855-713-0592 (Inpatient) or 1-855-713-0593 (Outpatient). Inpatient urgent requests can be also be called in to Provider Services (833-857-0929) between 8am-6pmET Monday-Friday.
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