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.
It is an intentional (knowing and willful) act of deception, misrepresentation, or concealment in order to gain something of value. Health care fraud is a crime.
Some examples of provider health care fraud are:
Some examples of consumer health care fraud are:
Here are some easy ways you can protect against health care fraud, and keep health care costs down for everyone:
Our Corporate Compliance team is responsible for minimizing eviCore healthcare’s risk to health care fraud. The compliance team partners with eviCore healthcare's Customer Service Claim department and others to help identify suspicious claims, stop payments to fraudulent providers and punish wrongdoers.
The compliance team also works with state and federal law enforcement and regulatory agencies and other insurance companies to detect, prevent and prosecute health care fraud. The compliance team includes trained professionals with expertise in investigations, health care, nursing, law enforcement and accounting.