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IMPORTANT UPDATE: We are in receipt of NYS Dept of Financial Services Insurance Circular Letter 17Open a PDF issued December 23, 2020 and will follow the provisions of the state guidance as it applies to our health plan. Please refer to our communication for additional details.
If you cannot locate a 2020 authorization in CareAdvance Provider, please send an email to CAPAdministrator@excellus.com and include your NPI, patient name, date of birth and the case number if you have it, and we will reopen it so you can request additional visits.

Learn how to use our new CareAdvance tool with training materials located on our website under Resources > Staff Training > Presentations & Guidebooks. For additional information view FAQ's Open a PDF.

If you receive an error message stating "You have no associated provider sets", we can help you; please email your Web Username and Individual or Group NPI to CAPAdministrator@excellus.com to update the system.

If you have any questions, please contact your Provider Relations Representative.

Request Authorization

  1. Check the patient's benefits & coverage for plan-specific requirements.
  2. Submit your request below:

 


Safety Net:
Medicaid, Child Health Plus, Essential Plan

Online with eviCore healthcare
or call 1-866-889-8056

Note: Safety Net (excluding Essential) for MSK services only: call 1-800-363-4658

Medical Intake for Commercial and Medicare Products:
Call: 800-363-4658, or Fax: 877-203-9401

Safety Net Intake:
Call: 844-694-6411, or Fax: 844-279-7140
Concurrent review can be faxed to: 855-742-0126

Commercial & Medicare:

Call 1-800-363-4658
Once the preauthorization has been created, the call will be transferred to SNF Utilization Management for Clinical Review


Safety Net:
Medicaid, Child Health Plus, Essential Plan

Call 1-844-694-6411 or Fax 1-855-742-0127

Long Term Care Support Services (LTSS):
Call 1-844-694-6411 or Fax 1-844-620-7013

New to CareAdvance Provider?

CareAdvance FAQ Open a PDF

Get Your Facets Provider ID

You'll need your Facets ID to use CareAdvance Provider.

How to get your ID

eviCore Healthcare Information

Get help with urgent/emergency requests, appeals process and help acessing eviCore online.

Learn more

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Modal for Behavioral Health Fax and Request Forms

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