Evicore Phone Number For Providers

Contact Us| Office Locations | eviCore

800.918.8924

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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Requesting Authorization from eviCore healthcare FAQ

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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Faker.providers.phone_number — Faker 10.0.0 documentation

Using the Faker Class; Standard Providers. faker.providers; faker.providers.address; faker.providers.automotive; faker.providers.bank; faker.providers.barcode

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Contact us Providers Independence Blue Cross (IBX)

CareCore National, LLC d/b/a eviCore healthcare (eviCore) Precertification requests for nonemergent outpatient radiation therapy services Precertification and/or prepayment reviews for genetic/genomic tests, certain molecular analyses, a

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Utilization Management Horizon Blue Cross Blue Shield …

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 Solution Radiology Benefit Management eviCore

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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HealthFirst Home Health PA eviCore

877-773-6964

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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For Providers ConnectCare

For Providers. ConnectCare recognizes the vital role that you, as providers, perform in the success of the ConnectCare PPO. Connecting our health care providers to payors and consumers is paramount to a successful relationship. We share your commitm

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Radiology and Cardiology eviCore

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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How to Request Prior Authorization or Prenotification and

855-252-1117

Services requiring prior authorization through Magellan Healthcare®: Call the number on the back of the member’s ID card. Refer to the Behavioral Health page for additional information. Services requiring prior authorization through eviCore®: Visit the eviCore Healthcare Web Portal. Providers can call toll-free at 1-855-252-1117.

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eviCore healthcare Constant Contact

888-693-3211

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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EviCore healthcare Radiology Program Frequently Asked

(888) 693-3211

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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ProviderOne for social services Wa

Individual providers (W-2 providers) Individual providers (also called IPs and known as W-2 providers) are caregivers who provide certain types of services in a client’s own home and community. Individual providers: Are employed and paid as an indiv

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Provider support eviCore

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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Palladian eviCore

Palladian Musculoskeletal Health Palladian Health is now a part of eviCore healthcare as of February 1st, 2018. We will continue to offer the best in-class musculoskeletal management services that you have come to expect from Palladian Health.

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Checking the status of AIM and eviCore authorization

Checking the status of pended authorizations. To check the status of pended authorizations for AIM or eviCore: AIM. To check the status for AIM pended authorizations, please use the AIM option under the Authorizations transaction. For mo

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eviCore

eviCore is committed to providing an evidence-based approach that leverages our exceptional clinical and technological capabilities, powerful analytics, and sensitivity to the needs of everyone involved across the healthcare continuum.

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Radiology Prior Authorization for Priority Health

800.540.2406

enter the Priority Health program via eviCore.com Phone Option: 844.303.8456 7:00 a.m. to 7:00 p.m. (EST) Monday - Friday Fax option: 800.540.2406 Fax forms available at www.evicore.com

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Our Imaging & Specialty Partner: eviCore Horizon Blue

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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MND Review of Molecular and Genomic Horizon Blue

Participating and nonparticipating Horizon BCBSNJ health care providers should contact eviCore directly for pre-service MND requests beginning August 1, …

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eviCore Horizon NJ Health

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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eviCore healthcare Horizon NJ Health

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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Request an Appeal eviCore

800-792-8744

If you do not hear from eviCore within the standard 30 days, please call 800-792-8744, option 4. Request Submission Form For Denied Cases Only. All requests require clinical information to be uploaded. Denied Case Number. Contact email.

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eviCore Outpatient Diagnostic Imaging Medical Necessity

888-693-3211

There are three ways to submit requests to eviCore healthcare for outpatient diagnostic imaging procedures: Contact them via phone at 1-888-693-3211 Monday through Friday between 8 a.m. and 9 p.m. EST. Submit requests via fax to 1-888-69

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Visit www.evicore.com eviCore Preauthorization Call 800

toll-free number on the member’s ID card. If the member/provider is not satisfied with the response received, they may contact Customer Service for instructions on the grievance process. Claims Submission Provider should submit claims to

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eviCore healthcare Utilization management programs

800-540-2406

The ordering provider should contact eviCore prior to the service being scheduled and performed. The request may be immediately processed or additional information may be • Phone: 844-303-8451 • Fax: 800-540-2406 . The web portal provide

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eviCore healthcare Frequently Asked Questions (FAQ)

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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Evicore Healthcare Reviews, Complaints, Customer Service

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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Evicore peer to peer contact number, you will be contacted

616.464.8432

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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Radiology Procedures Requiring Prior Authorization for

877-773-2884

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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Evicore Radiology Authorization Rentals

888-333-8641

Evicore Prior Authorization For Radiology Rentals. Rentals Details: Prior Authorization of Radiology and Cardiology Services.Rentals Details: How to request prior authorization 17 Prior Authorization Requests By phone: 888-333-8641 Monda

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BCN Procedures Managed by eviCore for BCN

855-774-1317

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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Changes to Blue Care Network Prior Authorization of

800-392-2512

When to contact BCN eviCore does not manage therapy services for patients receiving therapy with a diagnosis of Autism, specifically codes F84.0, F84.5, F84.8, F84.9 Please contact BCN at 1-800-392-2512 for authorization requirements eviCore does not manage therapy services for patients in Skilled Nursing Facilities

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Eligibility and Claims Status 1199SEIU Funds

Provider Notice/FAQ: COVID-19 Forms and Resources Medical Review Programs (eviCore healthcare) Medical Oncology Services Molecular and Genomic Lab Services Radiation Therapy Services Radiology Imaging/Nuclear Cardiology Services eviCore's 1199SEIU P

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Updated: 7 hours ago

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Providers Optima Medical AZ

Our Providers We have over 30 primary care providers, a team of specialists including a Cardiologist, Radiologist, Sleep Specialist and Pathologist that provide a superior level of coordinated care to our patients. Book Appointment List of Providers

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cigna eviCore

eviCore's clinical guidelines are evidence-based and apply to the following categories of service for individuals with Cigna-administered plans: Computed Tomography (CT) and Computed Tomography Angiography (CTA) Magnetic Resonance Imaging (MRI) and

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eviCore Utilization Management prior authorization list

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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eviCore Prior Authorization Program BCBSTX

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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eviCore new preapproval requirements for six states

844-822-3862

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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Radiology Procedures Requiring Precertification for

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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CHCP Resources RADIOLOGY IMAGING

888.693.3211

Phone: 888.693.3211 (option four) Cigna customer service. Phone: 800.88Cigna ; eviCore web support: Website: eviCore.com (Upon login, click the “Chat With Us” button located in the upper right-hand corner of the page.) Phone: 800.575.459

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Updated: 3 hours ago

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Prior Approval and Investigational Services Medical Mutual

(888) 693-3211

Prior authorizations will be accepted 24 hours a day, seven days a week, excluding planned down time for system maintenance through the eviCore website, or by phone at (888) 693-3211 or fax to (888) 693-3210. eviCore will provide a voi

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eviCore Security Health Plan

888-693-3211

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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eviCore Radiology Review Management Program

(844) 545-9214

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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Precertification Search BCBSND

If this is a genomic code, BCBSND contracts with eviCore for its Laboratory Management Program. eviCore in an independent company providing specific medical policy and precertification services to BCBSND. Effective 1-1-2020, Lab Management (molecula

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Our Providers - Veterans Health Administration

Our Providers. The "Our Providers" online directory lists the primary licensed independent practice providers who may be a lead, ongoing member of your treatment team at the respective VA medical center.Providers in the following occupations are listed on this website: physicians, dentists, nurse practitioners, clinical nurse specialists, physician …

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Clinical Worksheets | Radiology

Search by health plan name to view clinical worksheets. Adobe PDF Reader is required to view clinical worksheets documents. If you would like to view all eviCore core worksheets, please type in "eviCore healthcare" as your health plan.

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Clinical Guidelines | Evidence-Based Medicine | eviCore

eviCore is committed to providing an evidence-based approach that leverages our exceptional clinical and technological capabilities, powerful analytics, and sensitivity to the needs of everyone involved across the healthcare continuum.

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Updated: 7 hours ago

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Radiation Oncology - eviCore

If you require a copy of the guidelines that were used to make a determination on a specific request of treatment or services, please email the case number and request to: [email protected]. To request any additional assistance in accessing the guidelines, provide feedback or clinical evidence related to the evidence-based guidelines, please click here.

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Prior Authorization Automation | eviCore intelliPath

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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