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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.

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