Health New England Implementation Resources
EviCore by Evernorth is pleased to announce its partnership with Health New England for prior authorization services of select CT, MR, Nuclear Cardiac, PET, and Genomic Lab studies.
As of 10/01/23, EviCore will no longer provide services for the Sleep Diagnostics and PAP Devices and Supplies programs. For these services, please contact the health plan directly.
EviCore by Evernorth is pleased to announce its partnership with Health New England for prior authorization services of select CT, MR, Nuclear Cardiac, PET, and Genomic Lab studies.
Effective February 1st, 2016 Health New England members will require prior authorization from EviCore for dates of service beginning February 1st, 2016. Services performed without authorization may be denied for payment, and you may not seek reimbursement from members.
Services performed in conjunction with an inpatient stay, 23-hour observation, or emergency room visit are not subject to authorization requirements.
There are currently no General Resources.
Laboratory Management
Cardiovascular
Radiology
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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.