Submit a Prior Authorization

FOR MEDICAL PROFESSIONAL USE ONLY

Prior Authorization Instructions

For Meridian Medicare-Medicaid Plan plan information on how to submit a prior authorization request, please refer to our new authorization lookup tool.

For pharmacy authorization requests, visit Pharmacy.

Meridian partners with several external entities to manage prior authorizations for certain services or populations. The following grid outlines all entities including the request submission options, applicable plans, and delegated services.

Entity	Type of Service	Request Submission Options	Meridian (Medicaid)
eviCore	Sleep Studies, Genetic Testing	Portal: http://www.evicore.com Phone: 888-333-8641 Fax - PT/OT: 855-744-1319 Fax - All other services: 800-540-2406	X
National Imaging Associates, Inc	Radiology/Cardiology, Pain Management, Physical/Occupational Therapy	Portal: RadMD.com Phone: 866-214-2493	X
HealthHelp	Medical oncology, radiation therapy	Portal: portal.healthhelp.com Phone: 888-285-0562 Fax: 866-203-7271	X
TurningPoint	Musculoskeletal surgical procedures	Portal: www.myturningpoint-healthcare.com Phone: 877-659-3409 Fax: 773-819-2024	X
ProgenyHealth	NICU admissions	Phone: 888-832-2006 Fax: 844-868-5054	X

Alternately, view Prior Authorization requirements, training tools, submission options and user guides online.