Highmark Provider Resources
CARDIOLOGY AND RADIOLOGY (OUT OF AREA and OUT OF NETWORK) EXPANSION EviCore healthcare is pleased to announce its continued partnership with Highmark to provide services for members enrolled in Individual, Commercial and Medicare markets. Highmark will require prior authorization from EviCore for membership delegated for out of area and out of network cardiology and radiology services on dates of service August 1, 2021 and beyond. If services are performed without prior authorization, they will be denied
Cardiovascular
Radiology
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.