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The site may also contain non-Medicare related information. The "Live Sessions" page will display. The site may also contain non-Medicare related information. Prior authorization (sometimes called preauthorization or pre-certification) is apre-service utilization management review. Health Plans. What types of cardiovascular procedures require prior authorization? Ethics & Compliance | Sessions offered May and June. %PDF-1.5 * eviCore is a trademark of eviCore healthcare, LLC, formerly known as CareCore, an independent company that provides utilization review for select health care services on behalf of BCBSTX. Provider costs are reduced and decisions are communicated in real time, reducing delays. See Clinical Corner for services that require Preauthorization. Moving forward, please visit CoverMyMeds or via SureScripts in your EHR to learn more and submit all new PA requests electronically. Prime Therapeutics LLC (Prime) is a pharmacy benefit management company. In addition, peer-reviewed literature, major treatises, input from health plans, and practicing academic and community-based physicians are also utilized in the construction of our guidelines. For commercialprior authorization requests handled by AIM Specialty Health(AIM): Commercial non-HMO prior authorization requests can be submitted to AIM intwo ways. Well before the pandemic, consumers were leaning towards home healthcare versus facility based care when appropriate for a number of reasons. Copyright 2022 eviCore healthcare. Why didn't you call me the last time I had a procedure? Login | Providers | Univera Healthcare We start off todays podcast talking about echocardiograms, one of the coolest tests ever. We would like to help. How did you get my phone number/information? Checking eligibility and/or benefit information and/or obtaining prior authorization is not a guarantee of payment. *, Q2: Choose the primary task you came to the website to complete:*, Q3: Please rate the following statement: * Visit www.evicore.com Call 800.533.1206 Monday - Friday: 7:00 a.m. to 7:00 p.m. Their sole job is to ensure patients get the best possible care. Availity provides administrative services to BCBSIL. % Were still hiring for other Should I reschedule? I need to change the date on my request. Call 1-888-233-8158 from 8:00 a.m. to 9:00 p.m., Eastern, Monday through Friday. eviCore positions. Multi-Factor Authentication (MFA) is now live on eviCores web portal! Provider Contacts | Provider | Premera Blue Cross Tune into our latest Auth the Cuff podcast episode featuring pediatric oncologists Dr. Michelle Neier and Dr. Jessica Roberson, along with pediatric radiologist Dr. Keith Kronemer, who speak with Dr. Emily Coe on the impact COVID-19 has had, and may continue to have, on pediatric care. Driving Directions Report Fraud & Abuse | Q4: How can eviCore make it easier for you to use this website? "eviCore has over 1,100 doctors, therapists and nurses from a variety of specialties. Preauthorization Lists | EmblemHealth Annual Utilization Statistics | You might find that the answer is simpler than you think! Obtain prior authorizations through eviCore using one of the following methods: eviCoreperiodically will host orientation sessions for providers for various care categories. Contact Support | eviCore Support eviCore.com. Reminding and guiding patients to get the care they need. Request a Consultation with a Clinical Peer Reviewer, Check Status Of Existing Prior Authorization, Check Status of Existing Prior Authorization.