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eviCore Headquarters 400 Buckwalter Place Blvd. Bluffton, SC 29910 Driving Directions 800.918.8924. For media inquiries please contact [email protected]
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Updated: 4 hours ago
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A: eviCore healthcare is an independent company that manages authorizations for Blue Care Network, for certain services. eviCore healthcare manages the quality and use of these services on behalf of BCN. Our goal is to make sure every treatment and
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Updated: 6 hours ago
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Join a Horizon BCBSNJ or Horizon NJ Health Network eviCore Health Care eviCore Health Care. eviCore Health Care; please call the Provider Services number listed on the back of the member’s card. BlueCard Members Find out if you need prior authorizat
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Radiology. eviCore’s Radiology solution delivers cost savings and improved patient outcomes by ensuring health plan members receive the appropriate test or treatment necessary for their individual case presentation or condition. As a result, eviCore
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Updated: 7 hours ago
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Fax all requests to eviCore: 855-826-3724 Call 877-773-6964 to speak with an eviCore representative. * Note: eviCore will only be processing Home Health requests for Healthfirst members that had a …
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Updated: 1 hours ago
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Corporate Address: Highmark Blue Cross Blue Shield of Western New York 257 West Genesee Street Buffalo, NY 14202-2657 Mailing Address: Highmark Blue Cross Blue Shield of Western New York PO Box 80 Buffalo, NY 14240-0080
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Updated: 7 hours ago
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Highmark (BlueCross BlueShield) (www.highmarkbcbs.com) (www.bcbs.com) Active UTU members and others covered under the NRC/UTU Health and Welfare Plan (690100) should send claims to: Highmark Blue Cross Blue Shield, RR Dedicated Unit, P.O. Box 890381, Camp Hill, PA 17089-0381.Individuals who need information about the Comprehensive Health Care …
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Updated: 7 hours ago
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eviCore will manage prior authorization for Horizon NJ Health and Horizon NJ Total Care members. What is the relationship between eviCore and Horizon? Beginning on 12/16/2019, eviCore will manage Radiology and Cardiology services for Horizon BCBS NJ
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Updated: 8 hours ago
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Call eviCore healthcare at 888-693-3211. Fax an eviCore healthcare Request Form (available online at the eviCore healthcare Online Web Portal) to 844-822-3862. For urgent requests: If services are required in less than 48 hours due to me
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Updated: 5 hours ago
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company that provides utilization management services for Medical Mutual of Ohio. What is the relationship between Medical Mutual of Ohio and eviCore healthcare? Beginning December 18, 2017, eviCore will manage radiology services for Medical Mutual of The phone number is (888) 693-3211. The web portal is available for access 24/7.
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Updated: 6 hours ago
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This phone number is available on the back of applicable Member ID cards. Highmark Blue Cross Blue Shield West Virginia . P.O. Box 7026 . Wheeling, WV 26003 . CLINICAL • Fax: 304-424-0331 • Address: Highmark West Virginia . 614 Market St
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Updated: 7 hours ago
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eviCore’s new electronic prior authorization eviCore intelliPath is already being deployed inside the existing prior authorization workflow and by provider organizations to automate and simplify the process of submitting and tracking requests for pr
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Updated: 4 hours ago
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This information is issued on behalf of Highmark Wholecare, coverage by Gateway Health Plan, which is an independent licensee of the Blue Cross Blue Shield Association. Highmark Wholecare serves a Medicaid plan to Blue Shield members in 13 counties
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Contact Us. Provider Directory. Site Map. Legal Information. Highmark Blue Cross Blue Shield serves the 29 counties of western Pennsylvania and 13 counties of northeastern Pennsylvania. Highmark Blue Shield serves the 21 counties of central Pennsylvania and also provides services in conjunction with a separate health plan in southeastern
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Updated: 8 hours ago
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If Highmark West Virginia declines to include a given provider in its networks, Highmark West Virginia will furnish written notice to the affected provider of the reason for its decision. 3.2 Types of Providers Credentialed Highmark West Virginia currently credentials the following types of …
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Updated: 4 hours ago
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Highmark Blue Shield is located at 1800 Center St, Camp Hill, PA 17011. Highmark Blue Shield can be contacted at (717) 302-5000. Get Highmark Blue Shield reviews, ratings, business hours, phone numbers, and directions.
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Updated: 4 hours ago
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Highmark Blue Shield serves the 21 counties of central Pennsylvania and also provides services in conjunction with a separate health plan in southeastern Pennsylvania. Highmark Blue Cross Blue Shield West Virginia serves the state of West Virginia p
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Location & Hours 120 Fifth Ave Pittsburgh, PA 15222 Downtown Get directions Edit business info Ask the Community Ask a question Yelp users haven’t asked any questions yet about Highmark Blue Cross Blue Shield. highmark.com (412) 544-70
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Updated: 7 hours ago
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If after calling 1-800-676-BLUE or through other means you discover the member has a COB provision in their benefit plan, and Highmark Blue Shield is the primary payer, submit the claim along with information regarding COB to Highmark Blue Shield. I
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Updated: 2 hours ago
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Find 4 listings related to Highmark Blue Shield in Lehigh Valley on YP.com. See reviews, photos, directions, phone numbers and more for Highmark Blue Shield locations in Lehigh Valley, PA.
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Updated: 2 hours ago
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Y0037_19_1662_M Accepted Highmark Blue Shield is an independent licensee of the Blue Cross and Blue Shield Association. Highmark Blue Shield serves the 21 counties of …
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Updated: 2 hours ago
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Highmark Blue Shield is located in Camp Hill, PA and can be reached at: 717-302-4243. Get more information on Highmark Blue Shield by viewing our in-depth profile. Check it out Today!
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Updated: 8 hours ago
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Highmark has received reports of members receiving phone calls from Russia claiming to be from Highmark. The caller is asking for information to verify the member's information. If you receive a phone call from the following numbers, ple
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Updated: 5 hours ago
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Highmark Blue Shield serves the 21 counties of central Pennsylvania and also provides services in conjunction with a separate health plan in southeastern Pennsylvania. Highmark Blue Cross Blue Shield West Virginia serves the state of West Virginia p
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Updated: 3 hours ago
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Phone number: (412) 544-7000 WebSite: www.highmark.com. OPEN HOURS Monday: 8:00 - 17:00. Highmark Inc. is among the ten largest health insurers in the United States and is the fourth-largest Blue Cross and Blue Shield-affiliated compan
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Updated: 8 hours ago
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Radiology eviCore healthcare manages Advanced Imaging Services for our members through Prior Authorizations/Medical Necessity Determinations (PA/MND) with physicians. eviCore healthcare helps to ensure our members receive appropriate radiology/imagi
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Updated: 6 hours ago
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Highmark Blue Shield P.O. Box 890062 Camp Hill, PA 17089-0062 For BlueCard POS where Highmark is not the control plan: Please contact the home plan for claims filing instructions. Blue participating providers and non-Blue providers should submit the
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Updated: 7 hours ago
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Highmark Blue Cross Blue Shield serves the 29 counties of western Pennsylvania and 13 counties of northeastern Pennsylvania. Highmark Blue Shield serves the 21 counties of central Pennsylvania and also provides services in conjunction with a separat
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Updated: 4 hours ago
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Medicare claim address, phone numbers, payor id - revised . Health (9 days ago) PA: 1-877-235-8073: Highmark Medicare Services PO Box 890418 Camp Hill, PA 17089-0418: Highmark Medicare Services Appeals PO Box 890413 Camp Hill, PA 17089-0413: www.highmarkmedicareservices.com: Maryland: MD: 1-877-235-8073: Highmark Medicare Services PO Box 890398 Camp Hill, PA 17089-0398: …
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Updated: 5 hours ago
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eviCore will provide Utilization Management programs for Radiation Therapy and Radiology/Cardiology for Horizon NJ Health and Horizon NJ Total Care (HMO D-SNP) members effective January 1, 2020.However, eviCore will begin accepting authorization req
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Updated: 6 hours ago
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Web Portal: The quickest and most efficient way to request prior authorization is by using the eviCore portal at eviCore.com, which is available 24 hours a day, seven days a week. Call Center: eviCore’s is available from 7 a.m. to 7 p.m. Providers a
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Updated: 5 hours ago
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Page 2 of 4 eviCore healthcare : w.evicore.com or 1-888 35 7 2 8. How can a referring provider indicate that an imaging study is clinically urgent? The Provider should call to notify the eviCore healthcare agent that the test is clinically “URGENT”
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Updated: 2 hours ago
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Evicore Healthcare Reviews ( 26) Evicore's practice is to deny, deny, deny. It does not consider relevant health issues. Have terrific back pain and every step I take is painful. Evicore initially denied MRI, then approved after physician initiated
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Updated: 3 hours ago
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Please call us at 616.464.8432 and leave a message with the eviCore case number, a brief overview of the case, and caller contact information from providers. One of eviCore healthcare's clinical reviewers can assist. To request a clinica
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Updated: 5 hours ago
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Providers can call eviCore healthcare at 1-877-PRE-AUTH (1-877-773-2884); or Providers can log onto the eviCore healthcare web page using the Prior Authorization and Notification App. Note: It is eviCore healthcare’s policy not to accept
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Updated: 3 hours ago
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By calling 1-855-774-1317, preferably prior to services being rendered Refer to the resources below for more information: Authorizations Quick Reference Guide ( PDF) - How to submit a request to eviCore Procedures that require authorization by eviCore healthcare ( PDF) - …
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Updated: 1 hours ago
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eviCore Utilization Management prior authorization list As part of Moda Health’s efforts to provide its plan holders with access to high-quality, cost-effective care, Moda has partnered with eviCore Healthcare to assist with managing and administeri
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Updated: 4 hours ago
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eviCore Prior Authorization Program. Blue Cross and Blue Shield of Texas (BCBSTX) has contracted with eviCore healthcare (eviCore)* to provide certain utilization management prior authorization services for our government programs. eviCore is an ind
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Asking eviCore healthcare for approval Go to eviCore.com. Call 1-888-693-3211 (TTY: 711) (7 AM to 8 PM CT, Monday through Friday). Fax a request form (available online) to 1-844-822-3862. For radiation therapy services only Go to eviCore
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Updated: 4 hours ago
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All pre-certification requests are handled by eviCore healthcare. To pre-certify a radiology procedure, please contact eviCore healthcare via one of the two options listed below: Providers can call eviCore healthcare at 1-877-PRE-AUTH (1
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Updated: 7 hours ago
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Call eviCore at 1-888-693-3211 and choose option 4 for physicians. Here, providers may request or schedule a live peer-to-peer conversation. Please have the case or authorization number on the denial/fax letter ready. Fax a eviCore reque
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Updated: 4 hours ago
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eviCore First-Level Appeal eviCore healthcare Attn: Clinical Appeals Department 400 Buckwalter Place Blvd. Bluffton, SC 29910 Toll Free Fax Number: (844) 545-9214 Toll Free Phone Number: (866) 221-8787, Option 2 (for appeals process qu
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eviCore intelliPath® is eviCore’s automated prior authorization solution housing a suite of capabilities that simplify and automate the prior authorization process. intelliPath utilizes advanced technologies such as artificial intelligence and natural language process to enable electronic health record connectivity, real-time decisions, and case validation.
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Updated: 1 hours ago
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A Highmark prior authorization form is a document used to determine whether a patient’s prescription cost will be covered by their Highmark health insurance plan. A physician must fill in the form with the patient’s member information as well as all medical details related to the requested prescription.
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Updated: 5 hours ago
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Your search results are shown on an area map and include the pharmacy name, address, phone number, and driving directions. ... Health benefits or health benefit administration may be provided by or through Highmark Blue Cross Blue Shield, Highmark Choice Company, Highmark Senior Health Company, Highmark Senior Solutions Company, or Highmark ...
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Updated: 3 hours ago
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“Everyone that answers the phone for Highmark, no matter what location picks up the central call, is wonderful! They are patient, respectful, I love the fact that Highmark Credit Union understands customer service, and treats their customers like humans, not just an account number. Thank you!” - Christine B.
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Accessing eviCore healthcare Online. If you experience difficulty connecting from our website to eviCore healthcare, please call our Web Security Help Desk at 1-800-278-1247. For Questions about using the eviCore healthcare website, please call eviCore healthcare directly at 1-800-918-8924 ext 10036.
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Or by phone: 888.693.3211 7:00 a.m. to 8:00 p.m. (CST) Monday - Friday eviCore fax number: 1-844-82AETNA Fax forms available at: www.evicore.com WEB www.evicore.com Available 24/7 and the quickest way to create prior authorizations and check existing case status
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Buffalo Bills Highmark Stadium | Highmark Stadium: The official source of the latest Bills headlines, news, videos, photos, tickets, rosters, stats, schedule, and ...
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are enrolled in the FIDE-SNP Care Management Program. To reach the FIDE-SNP care team members for your patient to discuss care coordination, individualized plan of care, or to provide additional information on the member’s status, please contact the Care Management team. 1-888-621-5894, prompt 2 (TTY 711), Monday through Friday, 8:30 a.m. to
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Updated: 8 hours ago
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Independence Administrators Provider Services (direct all inquiries or issues directly to Independence Administrators) 1-888-356-7899: Independence Blue Cross and Highmark Blue Shield Caring Foundation Hotline: 1-800-464-5437: Keystone First Hours: Mon. – Fri., 8 a.m. – 5 p.m. Nurse on call 24 hours a day 1-800-521-6007
Providers can call eviCore healthcare at 1-877-PRE-AUTH (1-877-773-2884); or Providers can log onto the eviCore healthcare web page using the Prior Authorization and Notification App. Note: It is eviCore healthcare’s policy not to accept precertification requests from persons or entities other than referring physicians.
Please check directly with your health plan for specific requirements or contact eviCore’s Customer Service at (800) 918-8924. What additional tools are available as add-on programs to the Radiology solution?
For the list of eviCore CPT codes, review the CPT Code List. Providers and/or staff can request prior authorization in one of the following ways: Web Portal: The quickest and most efficient way to request prior authorization is by using the eviCore portal at eviCore.com, which is available 24 hours a day, seven days a week.
eviCore eviCore will provide Utilization Management programs for Radiation Therapy and Radiology/Cardiology for Horizon NJ Health and Horizon NJ Total Care (HMO D-SNP) members effective January 1, 2020. However, eviCore will begin accepting authorization requests on December 16, 2019 for dates of service beginning January 1, 2020.