Evolent Offers Training for New Ambetter Health Cardiovascular Auths Program
Date: 03/10/25
Evolent is offering training sessions to Ambetter Health providers to prepare them for the upcoming transition of prior authorizations for cardiology services.
Starting April 1, 2025, Evolent (formerly New Century Health) will oversee cardiology prior authorizations for cardiology services for all Ambetter Health members ages 19 and older. Ambetter Health will handle prior authorizations for members ages 18 and younger.
Under the new Evolent Cardiology Solution Program, providers must contact Evolent to authorize cardiovascular services such as:
- Cardiac Catheterization and Intervention
- Electrophysiology
- Vascular Radiology and Intervention
- Cardiac Surgery
- Vascular Surgery
Providers who wish to register for training session can do so by emailing providertraining@evolent.com. Evolent will also reach out to providers who to schedule an introductory meeting and training.
Three 1-hour sessions are scheduled to take place in March. All sessions start at 1 p.m. Eastern:
- Tuesday, March 25
- Wednesday, March 26
- Thursday, March 27
Learn more about this new program at Sunshine Health Provider News.
Evolent Questions?
If you have questions for Evolent, please email providertraining@evolent.com or call 1-888-999-7713 and select Option 6.
Ambetter Health Questions?
Ambetter Health has a wealth of resources available to help answer your questions and address your concerns:
- Provider Services: Call 1-877-687-1169
- Provider Portal: Visit the Secure Provider Portal to check member eligibility, submit claims and more.
- Provider Engagement: Use the Find Your Account Manager tool to find the Provider Engagement Account Manager (PEAM) supporting your specialty and region.
- Provider News: Bookmark Provider News to keep up with the latest updates.
- Provider Newsflash: Subscribe to our e-newsletter to get regular updates.
- Provider Resources: Visit Ambetter Health Provider Resources to find provider manuals, important forms, scheduling standards and other provider resources.
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