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  • Requesting Authorization From Evicore Healthcare

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Frequently asked questions about requesting authorization from eviCore healthcare (for cardiology, radiology, radiation therapy and pain management services) August 2016For information specific to.

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Contact support

You can also email portal.support@evicore.com or call 800-646-0418, option 2.

Automation and AI Prior authorizations are a resource-intensive task that requires providers and payers to comb through clinical and administrative data to build a case for approval or denial.

Electronic Prior Authorization (ePA) is the electronic transmission of information between the prescriber, and payer to determine whether or not the PA is granted. NCPDP has developed technical standards to support this electronic transmission and improve the timeliness of the exchange of information.

Simply visit the eviCore's Provider's Hub page and select the health plan and solution option for your case in the training section. The instructions on how to submit a case and a link to the correct portal to use will be provided.

5 Best-Practice Steps to Automate Prior Authorization Step 1: Demographic Audit. It's critical to have automated quality assurance measures in place to audit patient data before prior authorization submissions. ... Step 2: Eligibility Verification. ... Step 3: Determination. ... Step 4: Submission. ... Step 5: Retrieval.

16 Tips That Speed Up The Prior Authorization Process Create a master list of procedures that require authorizations. Document denial reasons. Sign up for payor newsletters. Stay informed of changing industry standards. Designate prior authorization responsibilities to the same staff member(s).

These steps are usually done manually, often through a cascade of phone calls, faxes and emails between payer and provider. The responsibility falls on the provider to continue to follow up with the insurance company until there is resolution of the prior authorization request — an approval, redirection, or denial.

eviCore healthcare will permit retrospective requests. Retrospective requests must be initiated by phone within 7 business days following the date of service. Please have all clinical information relevant to your request available when you contact eviCore healthcare.

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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
Content Takedown Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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