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 Cardiovascular solution delivers cost savings and improved patient outcomes by ensuring health plan members receive the appropriate test or treatment necessary for their individual cardiovascular case presentation or condition. As a result, eviCore can reduce inappropriate utilization, unnecessary radiation exposure, and invasive procedures that can jeopardize patient safety and outcomes. eviCore’s approach is not to deny care that is needed, but to help providers and patients identify the most appropriate testing and treatment options to ensure safety and maximize value.
The procedures requiring clinical certification generally include the following:*
Advanced Imaging and Diagnostic Services:
- Stress testing
- Myocardial perfusion imaging (SPECT and PET)
- Stress echocardiography
- Echocardiography: transthoracic and transesophageal
- Diagnostic heart catheterization
- Cardiac CT and MRI
Implantable Device Services:
- Pacemakers
- Implantable cardioverter defibrillator (ICD)
*The requirements for clinical certification of specific procedures can vary by health plan.
The physician, or designated office staff, managing your treatment plan must obtain the authorizations necessary for any testing or treatment you may need.
You will receive a letter in the mail and your physician will receive a letter via fax communicating this information.
If the requested exam is denied, eviCore will notify both you and your physician and provide you with detailed appeal instructions.
As a practicing cardiologist, I was drawn to the human element of eviCore. I am there to listen to and understand the provider's assessment, and to make sure the patient is getting what they need. It is my goal to continue to engage and establish relationships with providers to make the healthcare system work better, and to improve patients' experience on their journey to good health.