Healthcare providers seeking efficient medical authorization management now have a powerful digital solution through the EviCore Provider Portal. Designed to simplify complex utilization management processes, this portal offers comprehensive tools for healthcare professionals to submit, track, and manage prior authorization requests with unprecedented ease.
Official Links
- Homepage: https://www.evicore.com/
- Provider’s Hub: https://www.evicore.com/provider
What Providers Can Do
The EviCore Provider Portal serves as a centralized platform with multiple critical functionalities:
Key Portal Features
- Submit new prior authorization requests
- Check status of existing authorizations
- Upload additional clinical documentation
- Schedule peer-to-peer consultations
- Access clinical guidelines and worksheets
- Find contact information for support
Who Can Use the Portal
Healthcare providers across various specialties can leverage this portal, including:
- Cardiovascular specialists
- Gastroenterology practitioners
- Oncology professionals
- Radiology departments
- Musculoskeletal care providers
- Sleep medicine specialists
Access and Login Process
Registration Steps
- Visit https://www.evicore.com/provider
- Select “Login” or “Register” option
- Choose the CareCore National portal
- Complete user registration
- Create user ID and password
Unique Portal Capabilities
Peer-to-Peer Scheduling
Providers can now independently schedule clinical consultations through the online scheduling tool, offering unprecedented flexibility in managing authorization discussions.
Enhanced Authorization Workflow
EviCore is continuously improving the prior authorization process by:
- Removing clinical surveys from workflow
- Increasing real-time approvals
- Streamlining submission processes
- Reducing additional documentation requests
Support Resources
Web Support Details
- Live Chat: Available Monday-Friday, 7 AM – 7 PM EST
- Email: [email protected]
- Phone: 800-646-0418 (Option 2)
Training and Resources
The portal offers extensive training materials, including:
- Video tutorials
- Clinical guideline documents
- Network standards information
- Provider engagement resources
Privacy and Security
While specific security details aren’t extensively outlined, EviCore emphasizes protecting user information through secure portal access and login requirements.
Additional Portal Insights
Supported Health Plans
The portal supports authorization for numerous health plans, including:
- Aetna
- Blue Cross Blue Shield
- Cigna
- United Healthcare
- Many regional and state-specific health plans
Unprovided Information
Some details not explicitly confirmed in source documents include:
- Specific mobile app availability
- Detailed security protocol specifics
- Comprehensive billing features
The EviCore Provider Portal represents a sophisticated, user-centric platform designed to simplify medical authorization processes, reduce administrative burden, and support more efficient healthcare delivery.
Contact Information
EviCore Healthcare
730 Cool Springs Blvd
Franklin, TN 37067
1.800.918.8924
Copyright 2025 EviCore healthcare. All Rights Reserved.
FAQ
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 insurance companies does EviCore work with?As of 2024, over one hundred insurance companies outsourced utilization review to EviCore, including Aetna, Blue Cross Blue Shield, and UnitedHealthcare, as well as some states’ Medicaid programs.
How do I contact EviCore for prior authorization?
- Online Portal: Visit www.evicore.com and log in to your provider account.
- Select Health Plan and Solution: Choose the appropriate health plan and the specific service requiring authorization.
- Gather Required Information: Have relevant details like ordering provider information (NPI, TIN, contact info), rendering provider information (facility name, NPI, TIN), member ID, and clinical information (CPT code, symptoms, imaging reports) readily available.
- For Urgent Requests: Call eviCore directly at 1-888-693-3211 and inform them of the urgency.
- Check Authorization Status: You can check the status of your request through the portal or by calling 855.252.1117.
- Clinical Discussions: If clinical discussion is needed for approval, you can request a peer-to-peer discussion by calling 800-421-7592 or through the website scheduling tool.
What is EviCore authorization?
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EviCore healthcarehttps://www.evicore.comPrior Authorization | EviCore by EvernorthA process by which EviCore makes an evidence-based determination regarding whether a particular requested healthcare service or supply should be covered under a…
https://www.evicore.com/provider
EviCore offers providers easy access to clinical guidelines and online educational resources that guides them towards appropriate care.
https://www.evicore.com/
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