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CIGNA HealthCare - Pharmacy Services Phone: (800)244-6224 Fax: (800)390-9745 Notice: Failure to complete this form in its entirety may result in delayed processing or an adverse determination for.

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eviCore healthcare is a company that provides Utilization Management services for Health Plans or employer groups. eviCore healthcare's mission is to provide Outpatient Diagnostic Imaging Service programs that improve quality and appropriateness of service.

ST. LOUIS and BLUFFTON, S.C., Dec. 15, 2017 /PRNewswire/ -- Express Scripts Holding Company (NASDAQ: ESRX) today announced that it has completed the acquisition of privately held eviCore healthcare, the industry leader in evidence-based medical benefit management services, for $3.6 billion.

Precertification is required for specified outpatient services for any Cigna administered plan with Personal Health Solutions Plus (PHS+), Health Matters-Complete and Health Matters-Preferred medical management. ... provided by non-participating health care professional and/or facilities.

Prior authorization sometimes called precertification or prior approval is a health plan cost-control process by which physicians and other health care providers must obtain advance approval from a health plan before a specific service is delivered to the patient to qualify for payment coverage.

NOTE: Low Dose CT Scan (LDCT) for Lung Cancer Screening is a preventive service benefit under the Medicare Program that requires no referral but authorization is required. DO NOT direct requests for authorization to eviCore as requests are managed by the health plan. Applies to CPT codes G0297 or S8032.

In a rebrand of its health services portfolio, Cigna is launching Evernorth, which includes pharmacy benefit manager Express Scripts, specialty pharmacy Accredo and eviCore healthcare, which provides utilization management services for health plans or employer groups and outpatient diagnostic imaging service programs.

Decisions are made within two business days of receiving all necessary information. You and your doctor will be notified by phone, email and by U.S. Mail. Cigna receives a request while you are receiving care or in a hospital, skilled nursing facility or rehabilitation facility (concurrent review).

Cigna works with eviCore healthcare (eviCore, formerly CareCore | MedSolutions) to provide high-quality, cost-effective services to Cigna customers in most markets for outpatient, nonemergency, high-technology radiology and diagnostic cardiology services.

eviCore healthcare (eviCore) is a medical benefits management company (MBM) committed to making a positive impact on healthcare. We empower the improvement of care by connecting patients, providers, and payers with intelligent, evidence-based solutions to enable better outcomes.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232