New specialized therapy FAQ available

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 many valuable tips and tricks as well as answers to several common questions, including:

• Why does EviCore by Evernorth® recommend that providers initiate prior authorization via its web portal?
• When I create a case on the web, why am I asked if the request is for routine care?
• What clinical information do I need to submit?
• What guidelines does EviCore by Evernorth® use to render medical necessity determinations?
• How can I request visits for a limited service (e.g., instruction in a home exercise program or fabrication of a splint)?
• How long does an authorization remain valid?
• If a patient requires more therapy, how early can I submit my request?

Access the specialized therapy FAQ sheet here.