Is eviCore and CareCore the same?
The talents, technologies and tactical expertise of CareCore | MedSolutions are now unified as eviCore healthcare (eviCore). The recently merged companies combined to deliver innovative MBM solutions designed to bring better outcomes to everyone involved in the healthcare system: patients, providers and payers alike.
How do I schedule a peer to peer with eviCore?
You can also also schedule a peer to peer online by going to www.evicore.com and selecting the “resources” button in upper right hand corner of the page. You can then select the option to “request a consultation with a clinical peer reviewer”.
How do you use the eviCore portal?
In the search box above the tabs, type: eviCore Portal Training. – Choose the date and time for the session you would like to attend, and click the “Register” link beside it. (You will need to register separately for each session.) – Complete the required information, and click the “Register” button.
Why did I get a letter from eviCore?
Navigating the letter you receive(d) from eviCore: If the request from your healthcare provider doesn’t meet the evidence-based guidelines, you’ll receive a letter from eviCore letting you know it wasn’t approved and why it was denied.
Did Cigna buy eviCore?
The announcement indicated that eviCore will become Cigna’s utilization management subcontractor assisting members with non-specialty infusions, and that eviCore will provide home health, all home infused medications, and durable medical equipment services for Cigna customers.
Is eviCore part of Cigna?
Cigna has contracted with eviCore healthcare, an independent specialty medical benefits management company, to provide preauthorization for expanded cardiac management for its Medicare Arizona members.
Who can do a peer to peer?
The original requesting provider or a designated person from the provider’s staff can schedule a peer-to-peer appointment. Who can attend or take part in the peer-to-peer conversation? Only the originating provider takes part in the peer-to-peer conversation.
How do I submit Auth to eviCore?
From the drop-down menu, select: “Start a New Prior Authorization.” You will need to select the health plan and the solution and then choose “Start,” and you will be directed to the platform you should use to submit a prior authorization request for your patient.
What is eviCore used for?
eviCore is a medical benefits management company which helps patients avoid unnecessary care that can be expensive and potentially unsafe.
How do I appeal my eviCore?
If the level of review is an appeal you will receive a determination within the standard 30 days, or earlier based on state or federal requirements, as defined in the appeal rights of the initial decision notice. If you do not hear from eviCore within the standard 30 days, please call 800-792-8744, option 4.
What is eviCore insurance?
When did Cigna start using eviCore?
What is the relationship between Cigna and eviCore healthcare? Beginning February 1, 2019, eviCore will manage selected cardiology services and procedures for Cigna.