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
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Laboratory Management
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Medical Drug Management
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Medical Oncology
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Musculoskeletal
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Radiation Oncology
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Radiology
Medical Drug Management
Musculoskeletal
Laboratory Management
Medical Oncology
Radiation Oncology
Radiology
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.