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Scott and White Implementation Resources

Scott and White Health Plan (SWHP) is pleased to announce its partnership with EviCore by Evernorth to provide benefits management services for selected covered services requiring prior approval, effective August 1, 2018. This involves individuals enrolled in SWHP's Commercial and Medicare Advantage programs.

Scott and White Health Plan (SWHP) is pleased to announce its partnership with EviCore to provide benefits management services for selected covered services requiring prior approval, effective August 1, 2018. This involves individuals enrolled in SWHP's Commercial and Medicare Advantage programs.

SWHP members enrolled in the above-mentioned plans will require prior authorization by EviCore for the following covered services.

 

Benefit Plan/Product Prior Authorization Serviced by EviCore Effective Date

 

Commercial Fully Insured

Commercial Self-Funded

Medicare Advantage

Advance Radiology Imaging CT/MR/PET

 

8/1/2018

 

Commercial Fully Insured

Commercial Self-Funded

Medicare Advantage

 

Cardiovascular

Myocardial Perfusion Imaging

Echo

Stress Echo

Cardiac CT/MR/PET

 

 

9/1/2018

 

 

 

Spine Surgery

Joint Surgery

Interventional Pain

 

10/1/2018

There are currently no General Resources.

Need Help?

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