Auth Request tool guide: Request authorizations online

Which resources do you need?

Our Authorization Request tool has two portals – Guiding Care and eviCore. The tool will automatically select the correct portal based on your authorization type:

GuidingCare authorization types

  • Post-acute facilities
  • Behavioral health
  • Durable medical equipment (DME)
  • Inpatient
  • Outpatient
  • Spine surgery
  • Joint surgery
  • Home health care
  • Planned surgeries and procedures

eviCore authorization types

  • High-tech imaging
  • Lab and genetic services
  • Radiation oncology (starting September 2024)

TurningPoint authorization types

  • Cardiac surgical care (starting September 2024)
  • Musculoskeletal surgical care (starting September 2024)

Start an authorization request fast

  1. Log into your prism account
  2. Open the Authorizations menu and click Request an Auth
  3. Select the correct requesting provider type, either Hospital/Inpatient or Practitioner/Outpatient.

    For Hospital/Inpatient requests, identify the Admission/discharge facility and provider by selecting from the dropdown menu. To narrow the menu results, start typing the facility name into the field.

    For Practitioner/Outpatient requests, start typing a procedure name or CPT code into the Primary procedure field, then choose the procedure or code from the drop-down of matching services. Then identify the servicing Facility.

  4. Click the Go to GuidingCare or Go to EviCore button that appears (Go to TurningPoint will also be an option when the programs launch in September 2024). You'll be logged into the authorization portal to complete your request.
Return to the "Requesting an authorization" page in prism to request additional authorizations.