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HighmarkAll Plans · Prior Auth · Provider Bulletin · Oncology, Radiation OncologyHigh impact

Reminder: Register For Evolent Oncology Prior Authorization Training

Effective date
May 1, 2026
Identified
Mar 24, 2026

Summary

Highmark is transitioning oncology prior authorization management to Evolent effective May 1, 2026. Additional medical and radiation oncology codes will require prior authorization, and providers must complete training to prepare for the new workflow.

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What to do

Action · 3 steps
01Before May 1, 2026: Oncology providers must register for and complete Evolent's live virtual training sessions on the new prior authorization process.
02Visit the Evolent resource page to register.
03Billing team must prepare to upload supporting clinical documentation to the Evolent CarePro portal for requests requiring review while continuing to submit initial authorization requests through Availity Essentials.

Original notice

Reminder: Register For Evolent Oncology Prior Authorization Training
providers.highmark.com · Always check the source before changing claims.
View original ↗

Related changes

See all Highmark changes →
Evolent to Manage Medical and Radiation Oncology AuthorizationsHighEffective Jan 1, 2027 · Provider BulletinEvolent Transition: Sign Up for Oncology Prior Auth TrainingHighEffective May 1, 2026 · Prior AuthorizationBrowse every Highmark change in the policy list

Related policy hubs

Highmark policiesOncologyRadiation Oncology

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