Health Plans | Utilization Management Gastroenterology

eviCore’s Gastroenterology solution helps ensure appropriate and coordinated care for screening and curative endoscopies by utilizing evidence-based medicine and patient engagement to reach the best outcome at the appropriate setting for each patient’s clinical situation.

Services Covered

eviCore’s Gastroenterology solution covers the following services:

  • Upper Gastrointestinal Tract Endoscopies: Esophagogastroduodenoscopy (EGD), Capsule Endoscopy, Endoscopic retrograde cholangio-pancreatography (ERCP), and Enteroscopy
  • Lower Gastrointestinal Tract Endoscopies: Colonoscopy, Sigmoidoscopy, and Proctosigmoidoscopy
  • Monitored Anesthesia Care (MAC)