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- Prior Authorizations & Referrals
Prior Authorizations & Referrals
How to submit prior authorizations & referrals
For a faster turnaround, submit through the Devoted provider portal via Availity (preferred).
SIGN IN TO AVAILITY → DEVOTED PAYER SPACE→ DEVOTED PROVIDER PORTAL
Whether you are in-network or out-of-network with Devoted Health, you can submit requests via the Devoted provider portal. The portal allows providers to submit referral & authorization requests, check on the status of their requests, verify authorization requirements, and add clinical documentation.
If you are unable to submit authorizations through the Devoted provider portal, use the prior authorization request form.
Prior Authorizations
Services and medications that require prior authorization
- 2024 prior authorization list & coverage criteria
- 2024 prior authorization & step therapy lists for part B drugs
Providers can seamlessly check authorization requirements for medical services via the CPT lookup tool in the Devoted provider portal. Watch our CPT authorization verification tool video.
Prior authorization resources
- Get faster prior authorization responses by following these guidelines.
- View our prior authorization process for post-acute care.
Oncology prior authorizations
Authorizations for oncology services are requested and processed through Oncohealth. Prior authorizations should be submitted through the OncoHealth platform.
- In Availity, select “Oncology Authorization Request” under the Applications tab on the home screen, or
- Go to Devoted Health’s payer space in Availity, and select “Oncology Authorization Requests”
Questions? Email: provider-relations@oncohealth.us or call 1-888-916-2616.
Referrals
Find the list of services that require referral in Florida, Illinois, and Texas for HMO members.