For other uses, see Dominic (disambiguation). Dominic is a name common among Roman Catholics and other Latin-Romans as a boys name. Originally from the late Roman-Italic name Dominicus its translation means Of Our Lord, Lordly, Belonging to God or of the Master.
ï· Call us at 1-888-693-3211. ï· Fax an eviCore healthcare request form (available online) to 1-888-693-3210. Also, to ease the administrative burden of requiring prior authorization of OB Ultrasound studies, providers may batch service requests for up to 12 weeks and cases may be reviewed retrospectively for.
Referral from PCP: A referral from the PCP to the rendering provider is the only requirement. Referral submissions and inquiries can be processed on NaviNet. Prior Authorization: An authorization is needed. Call Horizon NJ Health at 1-800-682-9094. The request may need clinical information faxed with medical review. The prior authorization should be requested no later than five business days prior to rendering services. Alternately, authorization requests can be submitted easily and securely online through Care Affiliate.