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
I Would Like To
Learn How To
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
Why was my test, treatment, or procedures not approved?
These are some of the most common reasons that a test, treatment or procedure might not be approved:
Need more clinical information: Sometimes eviCore needs more clinical information from your healthcare provider, like medical history or tests you’ve already had, to determine if the request meets the latest evidence-based medical guidelines.
More conservative therapy should be tried first: Evidence-based guidelines often point to trying conservative solutions like rest, ice or elevation first before moving on to more invasive options that involve scans, scopes and needles.
Lack of a precursor test: In some cases, the order of treatment requires that a precursor test – like an ultrasound or x-ray – should always be tried prior to a more complicated procedure like advanced imaging (such as an MRI or a CT scan) or surgery.