Jefferson Health Plans Provider Resources
Effective January 1, 2024, Jefferson Health Plans members with plans that require prior authorization from EviCore will require requests to be submitted via the CareCore National portal for the following programs:
• Cardiology Advanced Imaging
• Musculoskeletal Services: Pain, Joint and Spine Procedures
• Radiology Advanced Imaging
• Sleep Management
Services performed without authorization may be denied for payment, and you may not seek reimbursement from members. For training session dates and times, please see the General Resources tab and the Solution Resources tab.
Cardiovascular
Radiology
Musculoskeletal
Radiation Oncology
Sleep
Medical Oncology
Need Help?
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.