evicore prior authorization phone number

endstream endobj startxref Phone - Call eviCore toll-free at 855-252-1117 . You can also see eviCore healthcare's criteria and get request forms at . Participating providers can find more precertification phone numbers in Participating provider precertification list for Aetna (PDF). Outpatient: 1-844-442-8012. How does eviCore handle large gene panels? Please click here to register for an account. open positions so continue your job search at Cigna.com/careers. Were still hiring for other Copyright 2022 eviCore healthcare. In addition to verifying membership/coverage status and other important details,this step returns information on prior authorization requirements and utilization management vendors, if applicable. Thank you for using eviCores website today! Call Utilization Management at 855-339-8127, 9 a.m to 9 pm., Monday through Friday. We start off todays podcast talking about echocardiograms, one of the coolest tests ever. Report Fraud & Abuse | I agree to HIPAA Disclosure Remember User ID LOGIN Don't have an account? For more specific contact information, choose the statement below that best represents you. We offer providers ongoing touch-pointsthat include a team dedicated to on-site visits; professional surveys; and the rigorous tracking and receiving of feedback from both providers and our clients. 400 Buckwalter Place Blvd. ** Prior authorization determines whether the proposed service or treatment meets the definition of medical necessity under the applicable benefit plan. Certain employer groups may require prior authorization or pre-notification through other vendors. Tune into our recent podcast episode with eviCore's post-CAM program specialists Dr. Chanta Van Laanen, Dr. Laura Beitz-Walters and Dr. Mark Leichter to learn more. This is not an all-inclusive list. What additional tools are available as add-on programs to the Cardiovascular solution? Some authorization requirements vary by member contract. Why would I switch to intelliPath ePA? 1 0 obj Tune into our new Auth the Cuff podcast episode with guest Dr. David-Park, Sr. Medical Director PAC/DME, for a great conversation on over utilization, a real-life patient example, and more. PDF Visit www.evicore.com eviCore Pre-authorization Call 800.533.1206 Request a Consultation with a Clinical Peer Reviewer, Check Status Of Existing Prior Authorization. List. reCAPTCHA is not valid; Please try again! If you donotget prior approval via the prior authorization process for services and drugs on our prior authorization lists: When and how should prior authorization requests be submitted? MCG Clinical Criteria- Information on Highmark's incorporation of MCG Health evidence-based clinical guidelines into Highmarks criteria of clinical decision support. My procedure is scheduled soon and I havent heard if my case is approved or not. Where are Musculoskeletal Program guidelines and how are they accessed? *, Q2: Choose the primary task you came to the website to complete:*, Q3: Please rate the following statement: * Prior authorization of a service is not a guarantee of payment of benefits. CHCP - Resources - Precertification - Cigna Highmark Blue Cross Blue Shield Delaware serves the state of Delaware. eviCore fax number: (800) 540-2406 Web Portal Services-Assistance 4 Web Support Phone: 800-646-0418 (Option 2) Email: portal.support@evicore.com Web Portal Services-Available 24/7 Pre-Certification Call Center Web-Based Services Client Provider Operations Documents Client Provider Operations Pre-Certification Call Center eviCoreis an independent company that provides specialty medical benefits management for BCBSTX. wont be able to apply to eviCore openings. Request a Consultation with a Clinical Peer Reviewer, Check Status Of Existing Prior Authorization, Preventive Care Outreach: Partnering to Improve Health Outcomes, Lower Costs and Increase CMS Scores, Q&A: eviCores Dr. Lon Castle on Evidence-Based Lab Testings Ability to Improve Patient Outcomes & Reduce Costs, eviCores Dr. Robert Westergan on Managing Site of Care and Implants for Musculoskeletal (MSK) Conditions, Check Status of Existing Prior Authorization. Learn about the growing field, along with eviCore and Alegis Care's home solutions on our new Auth the Cuff podcast episode with Dr. Yvette LeFebvre, Chief of PAC/DME/Sleep Services. Please utilize our live chat feature which is available 7AM-7PM EST M-F. Ethics & Compliance | IMPORTANT: In the coming days, we will be migrating systems for our Our goal is to provide high-quality, cost-effective sleep management services to customers who are covered under benefit plans that include precertification of outpatient procedures. What is included in the Cardiovascular solution? The field of gastroenterology is evolving. PDF Prior Authorization Requests - Quick Guide - AZBlue Sessions offered May and June. Available Trainings eviCore periodically will host orientation sessions for providers for various care categories. eviCore made it easy to complete my primary task online. Some requests are handled by BCBSIL; others are handled by utilization management vendors. What can chiropractic services do for my lower back pain? Medical Oncology: Call: 1 (866) 668-9250 Fax: 1 (800) 540-2406. The list indicates which CPT codes require preauthorization based on site of service and diagnosis codes. Q4: How can eviCore make it easier for you to use this website? Utilization Management (Prior Authorizations), STAR Kids Referral and Authorization Process, Value-Added Services for STAR, CHIP and STAR Kids, Medicaid Provider Information on COVID-19 Coverage, Quality Improvements (QI) Toolkits and Tip Sheets, Home Delivery Pharmacy (Mail-Order Pharmacy), Medicaid (STAR) and CHIP Prior Authorization Forms. Copyright 2022 eviCore healthcare. You will be contacted by an eviCore representative within 5 business days. 0 Hospital and Outpatient Services. Copyright 2022Health Care Service Corporation. <>>>/BBox[ 0 0 576 201.59] /Matrix[ 0.125 0 0 0.35716 0 0] /Filter/FlateDecode/Length 7100>> By presenting lower-cost, convenient, and high-quality options, SmartChoice empowers members to make more informed comparisons and choices. Find Contact Information; Podcasts; GO TO PROVIDER'S HUB. For precertification, go online to eviCore.com or use the contact information below. Contact your designated Independence Provider Network Services (PNS) team contact. Payment of benefits is subject to several factors, including, but not limited to, eligibility at the time of service, payment of premiums/contributions, amounts allowable for services, supporting medical documentation, and other terms, conditions, limitations, and exclusions set forth in the members policy certificate and/or benefits booklet and or summary plan description. Watch or listen to the latest Auth the Cuff podcast episode with our host, Dr. Emily Coe, featuring Dr. Joseph Weiss, where we discuss all things gastroenterology. BCBSAZ-TPA co-administered plans (prefixes K8Y, K8Z, and NBT) . Echocardiograms also just so happen to be one of the most common inappropriately ordered tests. You may also go directly to eviCore's self-service web portal at www.evicore.com. Should I reschedule? This step will also help you determine if your services require prior authorization throughBCBSTXoreviCore. Specifically designed with the size and scale to address the complexity of our healthcare system today and tomorrow, eviCore is committed to advancing healthcare management through evidence-based medicine. Quick Reference Guide | Cigna Medicare Providers To contact Customer Care, please call the phone number on the back of your Member ID Card. PDF 1-888-693-3210 http://www.medsolutions.com/implementation/abhil - Aetna eviCore positions. Highmark adheres to the Centers for Medicare and Medicaid Services (CMS) coverage determinations for Medicare Advantage (MA) membership. How does eviCore interact with providers? As a result, eviCore helps reduce inappropriate utilization, unnecessary radiation exposure, and invasive procedures and thereby improves patient safety. If you are a Highmark network provider and have not signed up for NaviNet, learn how to do sohere. If you are unable to use electronic prior authorization, you can call us at 1 (800) 882-4462 to submit a prior authorization request. Authorizations/Precertifications | GEHA . eviCore intelliPath streamlines operations within a single easy-to-use application that integrates with major EHRs. Fax the request form to 888.647.6152. stream Preauthorization | Blue Cross & Blue Shield of Rhode Island

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