Meet the provider engagement team – Sara Pomeroy

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 […]

New specialized therapy FAQ available

June 1, 2024

To help streamline the authorization process for therapies within the EviCore by Evernorth® system, we’ve created a new Specialized Therapy Frequently Asked Questions (FAQ) reference sheet. The document includes […]

Provider training opportunities

June 1, 2024

Beginning in June 2024, “EviCore Portal Training” will be renamed as “Intro to Web Portal Training” to better reflect the content and purpose of the […]

Imaging center accreditation requirements

April 1, 2024

To ensure patients continue to have access to high-quality services, we require that imaging providers meet accreditation requirements based on our Imaging Network Standards. For […]

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