Healthcare providers seeking a streamlined, efficient authorization management platform can leverage the EviCore Provider Portal – a comprehensive digital solution designed to simplify complex administrative workflows. This portal represents a critical tool for medical professionals managing prior authorizations, clinical documentation, and patient care coordination.
Official Portal Links
- Primary Portal: https://www.evicore.com/provider
- Provider Login: CareCore National Portal
Key Portal Features
Prior Authorization Management
The EviCore Provider Portal offers robust capabilities for healthcare professionals:
- Submit new prior authorization requests
- Check status of existing authorizations
- Upload additional clinical documentation
- Schedule peer-to-peer consultations
- Access real-time case decisions
User Authentication
Providers must:
- Create a user account
- Use unique login credentials
- Select “CareCore National” as the default portal option
Access and Registration
Login Process
- Visit https://www.evicore.com/provider
- Click “Login” or “Register” button
- Enter user credentials
- Select appropriate health plan
Supported Health Plans
The portal supports numerous health plans, including:
- Aetna
- Blue Cross Blue Shield variants
- Cigna
- United Healthcare
- Regional Medicaid and Medicare plans
Support Resources
Technical Assistance
- Web Support Hours: Monday-Friday, 7 AM – 7 PM EST
- Email: [email protected]
- Phone: 800-646-0418 (Option 2)
- Live Chat: Available during support hours
Training and Educational Resources
EviCore provides comprehensive training materials:
- Video tutorials
- Clinical guidelines
- Provider training sessions
- Specialized portal navigation guides
Privacy and Security
EviCore emphasizes:
- Secure web infrastructure
- Protected health information (PHI) safeguards
- Encrypted data transmission
- Compliance with healthcare privacy regulations
Upcoming Portal Enhancements
As of August 2025, EviCore is implementing:
- Reduced clinical survey workflows
- Increased real-time authorization approvals
- Streamlined case submission processes
Important Considerations
Documentation Requirements
- Providers may need to upload clinical documentation
- Early case documentation can reduce additional outreach
Unprovided Information
Some specific details were not explicitly available in the source documentation, such as:
- Exact mobile app availability
- Comprehensive step-by-step registration instructions
- Detailed security protocol specifics
The EviCore Provider Portal represents a sophisticated platform enabling healthcare professionals to manage complex authorization processes efficiently, with continuous improvements focused on user experience and operational streamlining.
Contact Information
EviCore Healthcare
730 Cool Springs Blvd
Franklin, TN 37067
Phone: 1.800.918.8924
Disclaimer: Information accurate as of August 2025, subject to potential updates.
FAQ
Is CareCore the same as EviCore?It also issues medical guidelines. As an outsourced medical review company, EviCore reviews claims for procedures, which it approves or denies based on the likelihood of approval as determined by an artificial intelligence algorithm. EviCore was formed by the 2014 merger of MedSolutions, Inc, and CareCore National.
What is EviCore portal?The EviCore Provider Portal offers secure, efficient access to prior authorizations, clinical guidelines, case status updates, and essential resources for healthcare providers managing patient care.
What insurances use EviCore?EviCore today issues recommendations for imaging, oncology, cardiology, gastroenterology, sleep problems and many other fields. It works with more than 100 insurers across the country, including industry titans such as UnitedHealthcare, Aetna and Blue Cross Blue Shield and some Medicare and Medicaid contractors.
Is EviCore owned by Aetna?Who is EviCore healthcare? EviCore healthcare (EviCore) is an independent specialty medical benefits management company that provides utilization management services for Aetna.
https://carriers.carecorenational.com/
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https://www.evicore.com/provider
EviCore offers providers easy access to clinical guidelines and online educational resources that guides them towards appropriate care.