Health Plans | Payment Integrity Implant Management

To address the inordinately high costs and large product-variation of implant devices, eviCore’s Implant Management program utilizes evidence-based clinical guidelines to detect safety and quality gaps in implant usage, and a thorough claims-review process to recoup potential overpayments.

Managing Cost

A key component of eviCore’s innovative programs for managing implant costs rest on insight info—and oversight of—implantable device claims. eviCore addresses the discrepancies in implant-related claims that can contribute to wide variations in cost for surgeries involving implants.