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Blue Cross and Blue Shield of Oklahoma Radiation Therapy and Lab Implementation

EviCore by Evernorth is an independent company that provides preauthorization for selected care categories for Blue Cross and Blue Shield of Oklahoma. Please select your state below to access additional program details for Commercial, Medicare, and/or Medicaid membership. Services performed without a preauthorization may be denied for payment, and the rendering provider may not seek reimbursement from the member.​​​​​​

blue cross and blue shield of oklahoma logo

EviCore by Evernorth is an independent company that provides preauthorization for selected care categories for Blue Cross and Blue Shield of Oklahoma. Please select your state below to access additional program details for Commercial, Medicare, and/or Medicaid membership. Services performed without a preauthorization may be denied for payment, and the rendering provider may not seek reimbursement from the member.

Commercial Membership

   

As of May 1, 2021, EviCore will no longer provide services for BCBS OK Commercial members. For services please call the number on the member ID card. EviCore will continue to provide services for BCBS OK Medicare members.

1/12019                                                                Advanced Imaging

                                                                             Musculoskeletal

                                                                                                  Pain Management

                                                                                                  Joint and Spine Surgery

                                                                                         

                                               

1/1/2018

                                                                       

Administrative Services Only        Primary (Program will expire 1/12019)

Blue Choice PPO                                             Molecular and Genomic Tests

Blue Advantage PPO                                       Radiation Therapy

Blue Preferred PPO                                         Advanced Imaging (Prenotification only)

                                                                   Advanced and Premier (Programs will expire 2019)

                                                                         Molecular and Genomic Tests

                                                                        Radiation Therapy

                                                                        Advanced Imaging

                                                                        Sleep Studies and Sleep DME

 

1/12019

 

                                                                                   

 

Administrative Services Only                     Advanced Imaging

Health Advocacy Solutions                            Cardiology

Blue Choice PPO                                           Musculoskeletal

Blue Preferred PPO                                                         Pain Management

BlueOptions PPO                                                            Joint and Spine Surgery

BlueOptions Select PPO                                 Molecular and Genomic Tests

                                                                        Radiation Therapy

 

 

 

 

Fully Insured                                                   Advanced Imaging

Wellbeing Management                                        Musculoskeletal

BlueLincs HMO (For Fully Insured only)                              Pain Management

Blue Advantage PPO                                                               Joint and Spine Surgery

Blue Choice PPO                                                  Molecular and Genomic Testing

BlueOptions Select PPO                                       Radiation Therapy

Blue Preferred PPO                                                                

Blue Traditional

 

 

 

 

 

Administrative Services Only                           Advanced Imaging             

Wellbeing Management                                       Musculoskeletal                      

Blue Net EPO                                                                        Pain Management

Blue New 'H' EPO                                                                 Joint and Spine Surgery

Blue PPO Evolution

Blue Preferred Plus                                             Molecular and Genomic Testing

Blue Preferred EPO                                            Radiation Therapy

Minimum Value Planning                                    Sleep Studies and Sleep DME

 

 

 

 

 

 

Providers should obtain prior authorizations for:

 Advanced Imaging

Cardiovascular

Musculoskeletal (Pain Management/Joint and Spine Surgery)

Molecular and Genomic Tests

Radiation Therapy

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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.

Register for Online Portal Orientation Session

Evidence-Based Clinical Guidelines