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.
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.