Highmark Delaware Commercial/ Medicare Provider Resources

CARDIOVASCULAR AND RADIOLOGY (OUT OF AREA and OUT OF NETWORK) EXPANSION EviCore by Evernorth is pleased to announce its continued partnership with Highmark to provide services for members enrolled in Individual, Commercial, and Medicare markets. Highmark will require prior authorization from EviCore for membership delegated for out of area and out of network cardiovascular and radiology services on dates of service August 1, 2021 and beyond. If services are performed without prior authorization, they will be denied
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Cardiovascular
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Laboratory Management
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Medical Oncology
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Medical Specialty Drugs
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Radiation Oncology
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Radiology
Radiation Oncology
Medical Oncology
Laboratory Management
Medical Specialty Drugs
Cardiovascular
Radiology
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Registration Instructions
EviCore highly recommends providers take full advantage of the online capabilities at https://www.evicore.com/provider
Here you can request prior authorization, review our nationally accepted evidence-based guidelines, and receive announcements about program updates. Access requires only your email address and a brief registration.