New option to withdraw cases on the portal

Meet the provider engagement team – Lisa Mekkelsen

April 15, 2025

Our Provider Engagement Team is dedicated to helping you have the best possible experience with EviCore by Evernorth®. We wanted to take the opportunity to […]

Ways to expedite chemotherapy and supportive drug requests

April 15, 2025

If chemotherapy and supportive drug requests have been made online via the web portal and are not immediately approved, it usually means we need more […]

Save the date: EviCore by Evernorth provider training + new training topic available 

April 15, 2025

Whether you’re a new user or an experienced user with questions, our free online training sessions can help maximize your experience.   We’re pleased to announce […]

Updates to same/similar CPT code requests workflow for vascular interventions

April 15, 2025

Peripheral vascular intervention (PVI) cases often need multiple billing codes (CPT codes). Sometimes, changes to these codes are identified before the procedure, while other times […]

New self-service request platform coming soon

December 30, 2024

Later this year, we’re launching a new self-service platform for submitting service requests to offer providers a more user-friendly and issue-specific method of communicating with […]

Meet the provider engagement team – Michael Morgan

December 30, 2024

Our Provider Engagement Team is dedicated to helping you have the best possible experience with EviCore by Evernorth®. We wanted to take the opportunity to […]

Reminder of prohibition on billing Qualified Medicare Beneficiaries (QMBs)

December 30, 2024

Please view the Centers for Medicare & Medicaid Services (CMS) article entitled “Medicare Learning Matters” regarding the prohibition on billing QMBs for Medicare A/B deductibles […]

Updated clinical documentation requirements

October 24, 2024

To accept and process clinical uploads or faxes, EviCore requires a full name (first and last) and one additional identifier from the list below of […]

Meet the provider engagement team – Sara Pomeroy

October 24, 2024

Our Provider Engagement Team is dedicated to helping you have the best possible experience with EviCore by Evernorth. We wanted to take the opportunity to […]

Reasons for hold/non-certification in the review process for chemotherapy and related supportive drugs

October 23, 2024

At EviCore, the review process for chemotherapy and related supportive drugs is simple and: NCCN-supported standard of care requests will usually result in an approval […]

Express Scripts prior authorizations through the EviCore portal

September 9, 2024

As you may know, EviCore has officially begun transitioning to Evernorth® Health Services branding. But what you may not know is that this transition goes far […]

Annual notice for California providers

June 1, 2024

Appointment wait times for impacted California patients must be applied pursuant to Cal. Health & Safety Code § 1367.03. In addition, the availability of interpreter […]

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