EviCore by Evernorth is pleased to provide prior authorization services for Clover Health for dates of service August 1, 2020 and beyond. Prior authorization will be required for the following services:
Please refer to the CPT Code List located within the General Resources tab for procedures that require prior authorization through EviCore healthcare. If the procedure isn't found on the CPT Code list, please review authorization requirements through Clover Health's web portal:
Effective 11/1/2021 All part b drug authorizations for Clover Health will be submitted to CVS-Novologix. You may submit authorization request to CVS-Novologix through the following channels: