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Home Providers Provider Resources Referrals and Prior Authorizations Prior Authorization – Cohort 2 Utilization Management Programs

Prior Authorization – Cohort 2 Utilization Management Programs

EmblemHealth Cohort 2 patients have additional third-party vendors who provide Utilization Management oversight separate from HCP.

High-Tech Imaging and Cardiac Interventions are managed by eviCore healthcare.

All service requests should be submitted directly to eviCore.

 

Spine interventions and Pain Management services are managed by Orthonet.

Visit their website for instructions.

 

Transplant evaluations and procedures are managed by Optum

Instructions for these service requests can be found on the EmblemHealth website.