AllWays Health Partners
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Welcome to AllWays Health Partners

Authorization Submission Form

Providers who are outside of AllWays Health Partners provider network can now submit medical authorization requests online. This form is intended for:

  • Aetna Signature Administrators network providers
  • MultiPlan PHCS network providers
  • Providers who are non-contracted with AllWays Health Partners

This form is NOT intended for:

  • AllWays Health Partners network providers (submit your request directly through the AllWays Health Partners Provider Portal).
  • Services managed through a vendor partner:
    • Optum (Behavioral Health)
    • NovoLogix (Medical Specialty Drugs)
    • CareCentrix (Sleep Studies)
    • eviCore (High-tech radiology, cardiac imaging and diagnostic services, molecular and genetic testing, radiation therapy)