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 Radiology solution delivers cost savings and improved patient outcomes by ensuring health plan members receive the appropriate test or treatment necessary for their individual case presentation or condition. As a result, eviCore helps reduce inappropriate utilization, unnecessary radiation exposure, and invasive procedures and thereby improves patient safety. eviCore’s approach is not to deny care that is needed but rather to redirect providers and patients to more appropriate testing and treatment options, which helps ensure safety and maximize value.
eviCore interacts with radiology patients in two ways. First, our innovative SmartChoice program serves as a patient-outreach service to educate health plan members on available options for their diagnostic imaging procedure locations. By presenting lower-cost, convenient, and high-quality options, SmartChoice empowers members to make more informed comparisons and choices. Second, when requests reach a final status, the patient receives a letter indicating whether the request has been approved or denied.
The diagnostic exams requiring prior authorization generally include the following procedures*:
*prior authorization of certain procedures can vary by health plan.
In some instances repeat exams for condition treatment or management will require prior authorization. Please check directly with your health plan for specific requirements or contact eviCore’s Customer Service at (800) 918-8924.
"eviCore has over 1,100 doctors, therapists and nurses from a variety of specialties. Their sole job is to ensure patients get the best possible care. Meet Dr. Scarborough, Chief of Radiology & SVP of Medical Affairs."