As part of our continued effort to provide a high quality user experience while also ensuring the integrity of the information of those that we service is protected,
we will be implementing changes to evicore.com in the near future.
Beginning on 3/15/21, web users will be required to log in to evicore.com in order to check the status
of authorization request(s). Please click here to register for an account.
Resources
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Frequently Asked Questions
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Providers
- Getting Started
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Active Case
- How can I check my authorization status?
- What is an online clinical consultation?
- What do I do if a member’s eligibility is incorrect or not on file?
- I need to change the date on my request. What is the fastest way to do this?
- I need to change the CPT code on my request. What is the fastest way to do this?
- Denied Case
- Patients
- Health Plans
How does eviCore handle large gene panels?
Most panels require prior authorization. When panels are billed with individual codes for the genes in a panel, eviCore reviews the medical necessity of each gene within a panel and typically only prior authorizes and recommends reimbursement for those genes that are medically necessary. In addition, many panels now have a panel-specific CPT code, but some labs are still billing with multiple stacked CPT codes. eviCore helps ensure our clients only pay claims that appropriately coded.