eviCore healthcare
Empowering the Improvement of Care
Overview
eviCore, part of Evernorth, is a specialty medical benefits management company that partners with health plans to manage care and costs. They provide prior authorization services across various specialties like radiology, cardiology, and oncology, using evidence-based clinical guidelines to ensure appropriate care. Providers can submit authorization requests through eviCore's online portal.
✨ Key Features
- Utilization Management
- Prior Authorization for specialty care (Radiology, Cardiology, etc.)
- Evidence-based Clinical Guidelines
- Provider Portal
- Site of Care Optimization
🎯 Key Differentiators
- Deep clinical expertise in specific medical specialties
- Comprehensive, evidence-based guidelines
- Long-standing relationships with major health plans
Unique Value: Ensures appropriate, cost-effective care in complex medical specialties through the application of rigorous, evidence-based clinical guidelines.
🎯 Use Cases (3)
✅ Best For
- Managing benefits for over 100 million patients on behalf of health plans.
💡 Check With Vendor
Verify these considerations match your specific requirements:
- Providers looking for a multi-payer tool for all authorization types (eviCore is payer-specific)
🏆 Alternatives
Offers deeper clinical specialization and a more comprehensive approach to utilization management compared to general-purpose authorization platforms.
💻 Platforms
🔌 Integrations
🛟 Support Options
- ✓ Email Support
- ✓ Live Chat
- ✓ Phone Support
- ✓ Dedicated Support (N/A tier)
🔒 Compliance & Security
💰 Pricing
Free tier: Free for providers to submit requests to payers who contract with eviCore.
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