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.
Resources
I Would Like To
Learn How To
Health Plans | Utilization Management Gastroenterology
Services Covered
eviCore’s Gastroenterology solution covers the following services:
- Upper Gastrointestinal Tract Endoscopies: Esophagogastroduodenoscopy (EGD) and Capsule Endoscopy
- Lower Gastrointestinal Tract Endoscopies: Colonoscopy
- Monitored Anesthesia Care (MAC)
Frequently Asked Questions
How does eviCore provide utilization management for upper and lower endoscopy?eviCore has developed the industry’s most authoritative and comprehensive guidelines for the management of endoscopy procedures. Utilizing our staff of 12 board-certified gastroenterologists dedicated to our Gastroenterology Solution, we curate the most up-to-date published and peer-reviewed literature and society-endorsed guidance, and translate this information into our proprietary evidence-based guidelines. Medical necessity determinations and peer-to-peer consultations are completed exclusively by our gastroenterology specialists, providing true-peer interactions to providers and maintaining a record of demonstrated value with low abrasion. In addition, eviCore’s substantial presence in the medical benefit management market allows us to leverage our enterprise’s operational and technical infrastructure to meet market demand at unparalleled scale.
