As part of our continued effort to provide a high quality user experience while also ensuring the integrity of the information of those that we service is protected,
we will be implementing changes to evicore.com in the near future.
Beginning on 3/15/21, web users will be required to log in to evicore.com in order to check the status
of authorization request(s). Please click here to register for an account.
eviCore’s Consumer Engagement programs offer a variety of solutions that educate patients through personalized interactions. From SmartChoice site redirection and alternative therapy programs, to HEDIS and Star programs, our Consumer Engagement programs deliver innovative, informed options and cost transparency.
Our consumer engagement concierge team communicates with the health plan member to inform them of their options for procedures based on cost, quality, and convenience. Other options include benefit differentials as well as customized appointment reminders.
eviCore’s Healthcare Economics Team analyzes elements such as the costs and geography inherent in certain procedures to increase network penetration and identify better opportunities.
Our Consumer Engagement Team makes sure that referring physicians are informed of any member activity jeopardizing scheduled procedures, facilities, and appointments. Consumer Engagement also assists with appointment adherence when implementing the member reminders.
SmartChoice is a program that partners with health plans and their members to empower members to become active consumers in how they spend their healthcare dollars and where they have their services performed.
During the process of creating a pre-certification request, eviCore will offer a list of cost-effective facilities, and you can choose one for your patient.
Your preference will be recorded, and the eviCore representative will include this facility on the list when we call your patient. As part of the SmartChoice program, health plans are letting their individual customers know their options for imaging as well as the costs involved.
Once your patient has selected a facility, a fax specifying the authorization number and their chosen location will be sent to your office as well as to the selected facility.
eviCore’s representatives are calling to offer choices about where you can receive your medical scan. Many of our partner health plans offer their members additional information about cost-effective and convenient locations. All these locations are accredited to ensure they meet high standards for quality and safety. We called to let you know there are a few near you that can provide the same service to you at a lower cost.
We only contact our members when there are lower-cost facilities available in their area for participating health plans.
Once you have selected a facility we will send a fax, including your authorization number, to your doctor’s office and the facility you have selected.
No, you can undergo your procedure at a location convenient to you.
As part of your coverage, MRIs, CTs, and PET scans must be reviewed by our radiology specialists prior to the service being provided. Your doctor's office contacted us about your scan and gave us your phone number.
Researchers found that people who were initially prescribed advanced imaging, such as MRIs, for management of low back pain ultimately paid more and were more likely to have surgery or injections, or to visit an emergency room, compared to those who were sent first to physical therapists. Based on a thorough examination, physical therapists can use any of the following treatment options:
Chiropractors practice a hands-on, drug-free approach to healthcare that includes patient examination, diagnosis, and treatment. Chiropractors have broad diagnostic skills and are also trained to recommend therapeutic and rehabilitative exercises, as well as to provide nutritional, dietary, and lifestyle counseling.
One of the most common and well known therapeutic procedures performed by chiropractors is spinal manipulation (sometimes referred to as a "chiropractic adjustment"). The purpose of spinal manipulation is to restore joint mobility by manually applying a controlled force into joints that have become hypomobile―or restricted in their movement―as a result of a tissue injury.
Chronic pain is any level of pain that lasts for more than 3 months–or beyond an expected normal healing time. Those with chronic pain feel that their body has not healed, when this may not be the case. Chronic pain has lingered beyond the initial warning of danger to the body. Anyone can develop chronic pain, at any age. Furthermore, the brain changes when a person lives with chronic pain: