Health Plans | Payment Integrity

Implant Management

To address the exceedingly high costs and large product variation of implant devices, EviCore’s Implant Management program promotes transparency and predictability into device spend while lowering medical costs for clients and patients. We do this by utilizing evidence-based clinical guidelines to detect safety and quality gaps in implant usage, and by conducting a thorough claims-review process to recoup potential overpayments. At the same time, our recall database—a differentiator in the marketplace—ensures safety and quality by offering health plans a centralized view of recall information.