Prior authorizations & referrals

If you are directly contracted with AllWays Health Partners, please submit referral and prior authorization requests through provider portal.

Instructions for submitting authorizations on our provider portal:

• Home Health Care
• Hospice
• Inpatient
• Outpatient
• Referrals
• Fax Coversheet

Providers who are not contracted directly with AllWays Health Partners can now submit medical authorization requests online through this authorization request form. This includes:

• Aetna Signature Administrators network providers
• MultiPlan PHCS network providers
• Out-of-network providers

 

View a PDF of all services that require referrals, authorizations, or notifications

View a PDF of durable medical equipment, medical supplies, oxygen related equipment, orthotics prosthetics and hearing aids that require prior authorization

Provider Service for Partners HealthCare employee plans: 844-451-3520

Provider Service for all other plans: 844-451-3518

Visit the Optum Provider Express Portal for more information and to submit prior authorization requests.

NOTE: Most medical specialty drugs are authorized through NovoLogix (NLX). See the list of medical specialty drugs that require prior authorization through NovoLogix. Submit all other medical specialty drug requests through AllWays Health Partners.

NovoLogix customer service: 844-345-2803
Universal prior authorization form for medical specialty drugs (PDF)

For more information, visit our medical specialty drug page.

CVS Caremark manages pharmacy benefits for AllWays Health Partners plans with prescription drug coverage. For the fastest service, please call the dedicated customer service line for your patients' plan or product.

Partners HealthCare Employee Plan Requests
800-364-6331

Specialty Drug Requests (All Other Plans)

Phone: 866-814-5506
Fax: 866-249-6155

 

Non-Specialty Drug Requests

Commercial Plans
Phone: 800-294-5979
Fax: 888-836-0730

 

Health Connector Plans
Phone: 855-582-2022
Fax: 855-245-2134

 

My Care Family
Phone: 877-433-7643
Fax: 866-255-7569

Provider Service: 866-827-5861

Visit the CareCentrix portal for more information and to submit prior authorization requests.

High-Tech Radiology, Cardiac Imaging and Diagnostic Services, Molecular and Genetic Testing, Radiation Therapy (managed by eviCore)

Provider Service: 888-693-3211

Visit the dedicated AllWays Health Partners resource page on the EviCore website 

Use the eviCore Provider Portal to submit prior authorization requests