Hub_sleep
Clinical Guidelines

Sleep Management

Instructions for accessing the guidelines:
1.     Search by health plan name to view clinical guidelines. If you would like to view all eviCore core guidelines, please type in "eviCore healthcare" as your health plan.
2.     Locate the reason for denial section found in your letter. Identify the guideline title and then search by the provided guideline title. Select appropriate guideline document.
Example for Sleep Apnea Guidelines: eviCore Sleep Apnea Guidelines
3.     Scroll down to the table of contents page and select the appropriate guideline section from the denial reason.
Example for SL 1: Based on eviCore Sleep Apnea Guidelines Section SL 1.1 General Requirements, we cannot approve this request.
4.  Click on the specific guideline section, if cited (e.g., SL 1.1).

Example for SL 1.1: Based on eviCore Sleep Apnea Guidelines Section SL 1.1 General Requirements, we cannot approve this request.