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
Start an authorization request fast
- Log into your prism account
- Open the Authorizations menu and click Request an Auth
- 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.
- Click the Go to GuidingCare or GO to eviCore button that appears. You'll be logged into the authorization portal to complete your request.
- Urgent/emergent authorizations
- Change an existing auth
- Check an authorization status
- Behavioral health authorizations
- Medical auth forms
- Medical necessity criteria
- Medical policies
- Medicare pre-service notices
- Retrospective auths
Services not included
- Drug authorizations not related to an inpatient stay or home infusions. Use of drug authorization request forms.
- Medicare non-coverage notices
- Services not covered by our plans