Second, when requests reach a final status, the patient receives a letter indicating whether the request has been approved or denied. 1-800-972-8382. Member Rights Policy | %PDF-1.5 Privacy Policy | Provider Resource Center 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. Preauthorization Lists | EmblemHealth Multi-Factor Authentication (MFA) is now live on eviCores web portal! Were still hiring for other What can physical therapy do for my lower back pain? If you do not hear back from us within 5 business days, please call, Please enter provider primary location address. Or . As noted above, when you check eligibility and benefits, in addition to confirming if prior authorization is required, youll also be directed to the appropriate vendor, if applicable. For more information about prior authorization, please review Mercy Care's Provider Manuals located under the Provider Information tab on our website. % Tune into our new podcast episode with eviCore's medical oncologists Dr. McLead, Associate Medical Director, and Dr. Gaskins, Sr. Medical Director, for an informative conversation on clinical trials, disparities in medical oncology, and how eviCore is aiming to bridge the gap with the most recent evidence-based options for oncology patients. One option is Adobe Reader which has a built-in reader. Should I reschedule? 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. *, Q2: Choose the primary task you came to the website to complete:*, Q3: Please rate the following statement: * What is included in the Radiology solution? For Prior Authorization requests, use one of the following: CoverMyMeds: Website: CoverMyMeds.com (Preferred) Call: 1 (877) 813-5595 It indicates which codes are handled by a vendor. : Chiropractic Low Back Pain, Gastroenterology Is Turning Science Fiction Into Reality, Healthcare Its Simpler Than We All Think, Just Because You Can, Doesnt Mean You Should, New Perspective, Same Focus: Utilization Management & Patient Safety, Redefining Home Healthcare and Reducing (Re)Admissions, Specialized Therapy Services: Reducing Pain and Beyond. Ethics & Compliance | CareCore National Web Portal The list applies to the following EmblemHealth lines of business: GHI Commercial non-City of New York. Please be reminded, effective June 1, 2023, AmeriHealth Caritas Florida will require prior authorization from eviCore Healthcare for the covered health care services listed below: The system can easily be made an extension of the clients existing claims workflow. Quick Reference Guide | Cigna Medicare Providers We recognize that providers today navigate a complicated healthcare system while trying to make the best medical decisions for their patients. Q1: Overall, how satisfied are you with eviCores website? Privacy Policy | Q1: Overall, how satisfied are you with eviCores website? Check status of submitted authorizations. We already use the eviCore portal. Refer to the Procedures that require authorization by eviCore healthcaredocument for more details. endstream eviCore intelliPath reflects eviCores commitment to modernize prior authorization and remove barriers to evidence-based care. If you do not remember your password, please click "Retrieve Password" below. reCAPTCHA is not valid; Please try again! wont be able to apply to eviCore openings. Description. In practice, utilization management plays a large role in patient safety and empowerment. Most PDF readers are a free download. As a result, eviCore helps reduce inappropriate utilization, unnecessary radiation exposure, and invasive procedures and thereby improves patient safety.