Dec 21st 2021

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.

·      Provider playbooks – topical one-pagers designed to help you deliver the best care for your patients.

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 create a prior authorization request with multiple CPT codes.

·      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:

o   Questions regarding Accuracy Assessment, Accreditation, and/or Credentialing

o   Requests for an authorization to be re-sent to the health plan

o   Consumer engagement inquiries

o   Eligibility issues (member, rendering facility, and/or ordering physician)

o   Issues experienced during case creation

o   Reports 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 https://www.eviCore.com/provider– click on “Training Resources” in the top center – then select “eviCore Provider Experience Team territory map” for the specific contact in your region. The team can share health plan-specific provider resource websites.

·      Visit our FAQ

 

Contact Technical or Web Support:

 

·      Phone Number: 1.800.646.0418 x20136

·      Email: portal.support@evicore.com

 

Insights:

 

Our Insights page contains webinars, blogs, and podcasts to help you navigate the prior authorization process and connect your patients with the best medically appropriate care for their condition. You can also search for “Ask eviCore” to read previous editions.

 

We want to make this column as helpful as possible, so we’re asking for your feedback. If you have a question or topic you’d like featured in Ask eviCore, an idea for a new web enhancement, or feedback about how we can improve our prior authorization process, let us know! Email your ideas to Jackie Jenkins, the National Provider Advocate on eviCore’s Provider Experience team, at providernewsletter@evicore.com.

 

Wishing you a safe and healthy holiday season!

eviCore’s Provider Experience Team