This phone number is MedSolutions's Best Phone Number because 498 customers like you used this contact information over the last 18 months and gave us feedback. Radiology Orientation Presentation. Please note, eviCore began to accept authorization requests on December 16, 2019 for dates of service beginning January 1, 2020. Clinical Review - eviCore uses cutting edge technology, including our proprietary predictive intelligence and clinical decision support, to assist in the clinical review process.

You can submit a precertification by electronic data interchange (EDI), through our secure provider website or by phone, using the number on the member’s ID card.

Radiology Prior Authorization Request Form For NON-URGENT requests, please fax this completed document along with medical records, imaging, tests, etc.

Diagnostic Ultrasound Guidelines. To pre-certify a radiology procedure, please contact eviCore healthcare via one of the two options listed below: Providers can call eviCore healthcare at 1-877-PRE-AUTH (1-877-773-2884); or Providers can log onto the eviCore healthcare web page using the Prior Authorization and Notification App. 7:00 a.m. to 7:00 p.m. EST. If there are any inconsistencies with the medical office records, please elaborate in the comment section. Check our precertification lists. eviCore healthcare helps to ensure our members receive appropriate radiology/imaging services, provides clinical consultation to our participating healthcare professionals and assists in the … My husband is treated at Mayo Clinic or Minnesota. Provider Orientation Frequently Asked Questions.

Monday - Friday. The following Commercial resource materials are inclusive of the UnitedHealthcare River Valley and NHP membership.

EviCore is our vendor for the management of radiology and cardiac imaging procedures.EviCore works to improve utilization and enhance quality by integrating administrative management of patient-centered care. eviCore is committed to providing an evidence-based approach that leverages our exceptional clinical and technological capabilities, powerful analytics, and sensitivity to the needs of everyone involved across the healthcare continuum. EviCore is our vendor for the management of radiology and cardiac imaging procedures.EviCore works to improve utilization and enhance quality by integrating administrative management of patient-centered care.

Welcome to the eviCore healthcare Web Portal (formerly MedSolutions) We believe the best way to improve the efficiency of the healthcare system is to make sure every decision is based on the most up-to-date and accurate information. For Implantable Cardiac Devices, Radiology/Imaging, Radiation Therapy or Musculoskeletal Services (large joint replacement, pain management and spine services), request authorization online with eviCore healthcare, or call 1-866-889-8056.. Accessing eviCore healthcare Online The Choline 11 PET Scan detects cancer when it is nearly undetectable by PSA.

COVID-19 Information ; Update: Waiving cost share for telemedicine and COVID-19 treatment extended Update: Waiving cost share for telemedicine and COVID-19 treatment extended; Dates for Certain Prior Authorization Waivers Further Extended Dates for Certain Prior Authorization Waivers … The Provider should call to notify the eviCore healthcare agent that the test is clinically “URGENT” and Horizon BCBSNJ is partnered with eviCore healthcare to manage Advanced Imaging Services for our members through Prior Authorizations/Medical Necessity Determinations (PA/MND) with physicians. To continue improving radiology utilization and lower the total cost of care for our member population, Medical Mutual has engaged with eviCore healthcare (eviCore) to manage the prior authorization process for imaging services. Imaging Guidelines.



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