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- Prior Authorizations & Referrals
Prior Authorizations & Referrals
Submitting Prior Authorizations and Referrals
For the fastest turnaround, submit requests through the Devoted provider portal using your Availity login. Both in-network and out-of-network providers can submit requests through the Devoted provider portal.
The portal allows providers to:
- Submit referral & authorization requests
- Check on the status of requests
- Verify authorization requirements via the CPT lookup tool
- Add clinical documentation
If you are unable to submit authorizations through the Devoted provider portal, use the prior authorization request form.
Dental Predeterminations and Pretreatment Estimates
This process applies only to Devoted Health members who receive dental benefits through the Devoted Dental network. You can verify the member's dental coverage by checking the back of the member’s ID card, which will list Devoted Network.
Members with dental coverage through allowance-based reimbursement (DMR) plans, card-based plans, or delegated dental network plans (for example, Liberty Dental) should follow the instructions outlined in the Devoted Partner Guide.
Electronic Submission (preferred)
- Log into Availity.
- From the main menu, select Claims and Payments.
- Select Claims & Encounters from the dropdown list.
- Choose the Dental Predetermination as the Claim Type and select Devoted Health as the Organization and Payer.
- Complete the required fields.
New to Availity? Register now to get started.
Paper Submission
Send a ADA paper form for dental predeterminations to:
Devoted Health — Claims
PO Box 211524
Eagan, MN 55121
Prior Authorization Requirements
Services and medications requiring prior authorization
Prior authorization resources
- Get faster prior authorization responses by following these guidelines.
- View our quick reference guide on our prior authorization process.
Prior authorization search tool
You can seamlessly check to see if authorization is required for medical services using the CPT lookup tool in the Devoted provider portal. To access the tool, login to the Devoted Provider Portal with your Availity credentials and select Authorization Check from the homepage. For more details, watch our CPT authorization verification tool video.
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.