Frequently Asked Questions

Payment Integrity (Claims Studio): Our proprietary system, Claims Studio, delivers incremental savings through a rigorous focus on accurate claims payment that can be implemented as an extension of the client’s existing claims workflow. With Claims Studio, the claim is pended in the host system and then sent to EviCore, where it is adjudicated with eviCore’s proprietary claims engine, and then returned to the host system for payment – all in the same day.
Consumer Engagement (SmartChoice): EviCore’s innovative SmartChoice program serves as a patient outreach service to educate health plan members on available options for the location of their advanced cardiac diagnostic imaging procedure. By presenting lower-cost, convenient, and high-quality options, SmartChoice empowers members to make more informed comparisons and choices.

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