Blue Cross and Blue Shield of Kansas City Implementation Resources

Effective 3/1/23 all Radiology and Cardiovascular requests for BCBS-KC members must be initiated through EviCore on the CareCore National portal. After logging into your EviCore web account, if you are in the MedSolutions portal, you can select the CareCore National portal at the top of your screen and then initiate your request. Users can continue to use the MedSolutions portal through 2/28/23. As of 3/1/23 users will still have access to view case history on the MedSolutions portal, but all new BCBS-KC Radiology and Cardiology cases plus retrospective requests will need to be initiated via the CareCore National Portal.

Additionally, as of 3/1/23 EviCore will begin reviewing Pain Management requests for BCBS-KC members for dates of service 3/1/23 and beyond. All BCBS-KC Pain Management requests must be initiated through the CareCore National portal

EviCore healthcare is excited to partner with Blue Cross and Blue Shield of Kansas City (Blue KC) to provide authorization services for outpatient elective services. All outpatient elective CT, MR, PET, Nuclear Cardiac, Echo/Stress services and Pain Management procedures will require prior authorization from EviCore healthcare.

Effective July 1, 2019 BCBSKC is implementing a change in Echocardiogram authorization requirements. These three Add-On Codes will not require Prior Authorization after July 1, 2019.

93320, 93321, 93325

This change will only be effective to dates of service after June 30, 2019