Two doctors walking stairs

BlueCross BlueShield of Arizona (AZ Blue) Resources

 

 

eviCore provides utilization management services for most Blue Cross® Blue Shield® of Arizona (AZ Blue) members with commercial group plans and, for members with AZ Blue-administered Medicare Advantage plans. The program includes the following medical services and medication delivered in settings other than facility inpatient:

  • Cardiovascular & Radiology: High-tech imaging
  • Lab Management: Genetic testing
  • Medical Oncology: Infused drugs
  • Musculoskeletal-Advanced Procedures (spine and joint) and interventional pain management - For AZ Blue Medicare Advantage members only, not for commercial members.
  • Radiation Oncology: Radiation Therapy
  • Medical Drug Management: Drugs that are covered under medical benefits and must be administered by a healthcare professional - For AZ Blue commercial members only, not for Medicare Advantage members

                

         AZ Blue - eviCore Program Overview

       

      To see lists of applicable procedure/drug codes, and clinical guidelines, go to the “Solution Resources” tab on this page

       

      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.

      Register for Online Portal Orientation Session

      Evidence-Based Clinical Guidelines