Capital Blue Cross Provider Resources
Capital Blue Cross has partnered with EviCore to provide patients with access to high-quality, medically appropriate care that is consistent with evidence-based treatment guidelines. As part of these efforts, the program(s) listed below will require prior authorization for patients covered by Capital Blue Cross effective 11/01/2025.
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Molecular Lab Management
Capital Blue Cross members with the following plans that require prior authorization from EviCore will require requests to be submitted via the CareCore National portal:
- Commercial
- CHIP
- Medicare
There are currently no General Resources.
Laboratory Management
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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.