Frequently Asked Questions I need to change the CPT code on my request. What is the fastest way to do this? I need to change the date on my request. What is the fastest way to do this? What do I do if a member’s eligibility is incorrect or not on file? How to register What is an online clinical consultation? What types of services are managed under your sleep solution? How are policies created and updated? What is TherapySupport℠? What is included in the sleep solution? What digital resources can I access to find out more radiation oncology information? What is included in the Radiation Oncology program? How does the EviCore by Evernorth post-acute care program work? Is transition of care part of Post-Acute Care (PAC)? Can EviCore work with other vendors with which I already have contracts to provide post-acute care (PAC) services? What is Post-Acute Care (PAC)? What services are managed through the Musculoskeletal Pain Management Program? What is included in the Medical Oncology program? How does EviCore handle large gene panels? What claims are subject to claims review? Who could benefit from home health services? How does EviCore communicate with the patient’s provider? Do you offer a mandatory prior authorization program for all sleep studies? What is included in the Medical Drug solution? What if the request does not meet clinical criteria? What is SmartChoice? How do we get started? Which EHRs does EviCore’s intelliPath® ePA support? We already use the EviCore portal. Why would I switch to EviCore intelliPath® ePA? Why is providing EviCore intelliPath® ePA free of charge for EviCore-managed lives? How does EviCore by Evernorth Preventive Care Outreach Team contact members? How many days before an appointment do members get a reminder? And how do you send the reminder? How does EviCore by Evernorth receive eligible members for outreach? What is included in EviCore by Evernorth Home Health? How to start a new prior authorization How did you get my phone number/information? How can I check my authorization status? What do I tell my patient when their case is denied? What are my options when a case is denied? What is prior authorization? Who is EviCore? My procedure is scheduled soon and I haven’t heard if my case is approved or not. Should I reschedule? Why was my test, treatment, or procedures not approved? What are my options following a denial? How do I know when my test has been authorized? What if my tests do not get approved? I got a message from a SmartChoice representative asking me to call back; why are you calling me? Why didn't you call me the last time I had a procedure? How will my doctor know where I am going? Don’t I have to go to a hospital for my procedure? What digital resources can I access to find out more comprehensive oncology information? What can physical therapy do for my lower back pain? What can chiropractic services do for my lower back pain? What is chronic pain? What are some facts about back pain How does my doctor access the Medical Drug Management solution? What types of cardiovascular procedures require prior authorization? What is included in the Cardiovascular solution? What additional tools are available as add-on programs to the Cardiovascular solution? What is included in EviCore’s Comprehensive Oncology program? Who is EviCore by Evernorth? What services are managed through the Musculoskeletal Therapies Program? How does EviCore interact with providers? What services are managed through the Musculoskeletal Surgical Program? What digital resources can I access to find out more medical oncology information? How do I obtain clinical certification for cardiovascular tests? Where are Musculoskeletal Program guidelines and how are they accessed? Healthcare Glossary Healthcare can sometimes seem like it is its own language. This glossary is intended to help define some of the common words that you will find on EviCore.com. Learn More Can't find what you're looking for? Contact Us
