Health New England Provider 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.
Effective 1/1/2027, EviCore will conduct medical necessity review for MSK Joint & Spine surgeries for Health New England Commercial, Medicare, and Medicaid members.
Effective 1/1/2027, EviCore will conduct medical necessity review for Cardiac & Vascular Intervention and Radiation Oncology for Health New England Commercial and Medicare members.
Medical Policies for these programs will be available on the EviCore website at https://www.evicore.com/provider/clinical-guidelines. Please refer to www.hnetalk.com/provider for ongoing updates.
Cardiovascular
Laboratory Management
Musculoskeletal
Radiation Oncology
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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.