Ask EviCore: Provider Resources Roundup
Welcome to the final 2021 edition of our Ask EviCore feature! EviCore’s Provider Experience team is dedicated to creating a prior authorization process that’s faster, more efficient, and more collaborative – and continuously improving. In this month’s edition, we’re sharing a list of resources to help you navigate the prior authorization process so you can provide the best, medically appropriate care to your patients.
Training Sessions:
Join us for one of our many ongoing training sessions available at: http://eviCore.webex.com. Select “WebEx Training” from the menu bar on the top left. You can view upcoming topical sessions with details including date and time, length of session, and the presenter. Register by selecting the blue Register button beside the offered training. You’ll input your information and receive a confirmation with details via email. Available training options include: health plan-specific trainings, provider forums, and web portal trainings for both the EviCore and Therapy Provider portals.
Provider’s Hub Resources:
Our Provider’s Hub provides a wealth of information, including:
- Clinical guidelines – medically appropriate clinical guidelines for all of our solutions, sorted by health plan.
- Clinical worksheets – detailed worksheets to help you submit a specific prior authorization request.
Self-Service Options Available via logging into the Portal:
- Check the Status of a Prior Authorization Request
- Schedule a Clinical Consultation
- Request an Appeal or Reconsideration
Training Resources:
- Visit the Provider’s Hub, then scroll toward the middle of the page to select Training Resources. Check out our Video Tutorials, including Web Registration tutorials for CareCore and MedSolutions, and a video titled, “Is my case Urgent?”
- A checklist on how to speed up prior authorization.
- How to avoid peer-to-peer phone calls.
Contact Us:
Email: support@evicore.com
Phone: 1.800.918.8924
Live chat is available Monday-Friday from 7 a.m.‒7 p.m., Eastern Time. (Look in the bottom right corner of the screen.)
Our dedicated Client & Provider Operations team is ready to address any provider-related requests, including:
- Questions regarding Accuracy Assessment, Accreditation, and/or Credentialing
- Requests for an authorization to be re-sent to the health plan
- Consumer engagement inquiries
- Eligibility issues (member, rendering facility, and/or ordering physician)
- Issues experienced during case creationReports of system issues.
Our Provider Engagement team is ready to assist you with training on the Utilization Management process! Contact information can be found at