Authorizations

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Coventry Health Care values the quality care that health care providers give our members. To support that effort, Coventry has multiple options for obtaining the information you need to maximize every patient visit, including our exclusive, free website, directprovider.com.

The prior-authorization process is now quick and easy with our secure online service, directprovider.com.  You can look up authorizations online, at your convenience. 

Coventry prides itself on the electronic data interface (EDI) tools we have available for our providers and, with directprovider.com, Coventry can boast one of the most multi-functional payer websites available to providers in the healthcare industry.  For more information on directprovider.com, please visit the  Secure Provider Portal section of this website.

For scheduled ambulatory surgery, call our Preauthorization Department at (800) 235-2206 (press 5), at least 72 hours prior to the surgery.

Inquiries related to inpatient authorizations, concurrent reviews, discharge planning, case management, and prior authorizations, should be directed to our Health Services Department at (800) 235-2206 (press 5), Monday through Friday, 8:00 a.m. to 5:00 p.m., ET.

Real-time Authorization Submission Inquiries

View information concerning other Coventry real-time authorizations solutions.

Preauthorization List

Download a list of services requiring preauthorization.

directprovider

Manage all your Coventry health plan needs at our secure, one-stop, multi-functional provider portal.

 

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