Announcements

More Training and Preauthorizations on eviCore

April 20, 2017

Starting in May, eviCore will begin managing additional preauthorization services for our commercial and Medicare members.

For dates of service on or after June 1, you must request preauthorizations through eviCore on Your Health Alliance for providers. You can start using eviCore to submit these requests on May 22.

These additional, hour-long training sessions will go over how to submit preauthorization requests to eviCore and how to access tools and resources, including a quick reference guide.

Medical Oncology

Anyone who is responsible for submitting Medical Oncology preauthorization requests for our members should register for one of these online training sessions:

Preauthorization: Health Alliance Medical Plans – Medical Oncology

  • Tuesday, April 25 at 11 a.m. CST
  • Thursday, April 27 at 1 p.m. CST
  • Wednesday, May 3 at 9 a.m. CST

Radiation Therapy

Anyone who is responsible for submitting Radiation Therapy preauthorization requests for our members should register for one of these online training sessions:

Preauthorization: Health Alliance Medical Plans – Radiation Therapy

  • Wednesday, April 26 at 9 a.m. CST
  • Friday, April 28 at 1 p.m. CST
  • Thursday, May 4 at 10 a.m. CST

Musculoskeletal Services: Pain/Joint/Spine and MSK Therapies

Anyone who is responsible for submitting Pain/Joint/Spine and/or PT/OT/ST preauthorization requests for our members should register for one of these online training sessions:

Preauthorization: Health Alliance Medical Plans – Musculoskeletal Services

  • Friday, April 21 at 1 p.m. CST
  • Monday, April 24 at 1 p.m. CST
  • Thursday, April 27 at 10 a.m. CST
  • Friday, May 5 at 9 a.m. CST

Sleep Management

Anyone who is responsible for submitting Sleep Management preauthorization requests for our members should register for one of these online training sessions:

Preauthorization: Health Alliance Medical Plans – Sleep Management

  • Friday, April 21 at 9 a.m. CST – DME Providers Only
  • Monday, April 24 at 10 a.m. CST
  • Wednesday, April 26 at 2 p.m. CST – DME Providers Only
  • Tuesday, May 2 at 11 a.m. CST

How to Register

  • Once you’ve picked a session, go to eviCore.webex.com.
  • Choose the Training Center tab from the top menu.
  • Find the date and time of the session you want to attend in the Upcoming tab. All of the training sessions are named according to their specialty area, which are in the above sections before the training times.
  • Choose Register.
  • Enter your registration information.

Attending Your Online Training Session

After you’ve registered, you’ll get an email that includes:

  • The toll-free phone number and pass code you’ll need for the session’s audio
  • A link to the online session
  • The session password

Save this registration email to access your session, and don’t forget to mark your calendar and ensure you’ll be able to fully participate in the session.

You can also access the presentation materials by using the eviCore Resources link in the Forms & Resources section of Your Health Alliance for providers. Or you can get a copy of the presentation slides by emailing ProviderRelations@evicore.com.

Preauthorization Updates

March 28, 2017

We will be posting regular updates about functionality changes to our preauthorization tools—Clear Coverage, eviCore, and Health Alliance preauthorization forms.

eviCore

Finish Later and Attach Clinicals Later

  • This has been updated so provider offices can choose Finish Later to come back to an authorization within 2 business days. This also allows you to attach the clinicals before submitting a preauthorization.

OB Ultrasounds

  • At this time, multiple OB ultrasounds cannot be batched into one authorization request.
  • Submit separate authorizations when multiple exams are requested.
  • We’re working with eviCore for a solution, and we will keep you updated as changes occur.

Breast Ultrasounds

  • Do not require preauthorization.

OB/GYN Codes Flipped

  • From time to time, users experienced changes to CPT codes within the eviCore system. This issue has been corrected, and OB/GYN offices should no longer be seeing this problem.

Can’t Choose Rendering Provider

  • As of March 13, we’ve corrected the issue that you could not choose providers, including physicians, hospitals, and imaging centers, as the rendering provider or site. (You will no longer receive the message, “not certified for this program” when you made this selection.)

Rendering Provider vs. Ordering Provider

  • Rendering provider and ordering provider are the same as long as the rendering provider is not a hospital or imaging center.

Don’t Use the Enter Key on Your Keyboard

  • eviCore requires you to choose select, continue, or submit on a preauthorization. If you use the Enter key on your keyboard, the preauthorization will be lost, and it will take you back to the beginning.

Clear Coverage

Call with Inpatient Home Health Discharges Preauths

  • Preauthorizations for patients being discharged from an inpatient setting to home health will be handled by calling our medical management department. Use Clear Coverage for all outpatient home health preauthorizations.

Missing CPT Codes

  • The missing CPT codes for home health have been updated and can now be selected.

eviCore Preauthorization Online Training Sessions

January 10, 2017

Starting March 1, 2017, we will partner with eviCore, a national specialty benefit management company that focuses on managing quality and use for better outcomes for our patients, providers, and Health Alliance. eviCore will manage some preauthorization services for our commercial and Medicare lines of business to help us address the needs of our expanding complex member populations.

For dates of service on or after March 13, you must request preauthorizations through eviCore on Your Health Alliance 
for providers, which you can access starting February 28.

Anyone who is responsible for submitting preauthorization requests for our members should register for one of these online training sessions:

  • Tuesday, February 7 at 10 a.m. CST
  • Wednesday, February 8 at 1 p.m. CST
  • Thursday, February 9 at 4 p.m. CST
  • Tuesday, February 14 at 10 a.m. CST
  • Wednesday, February 15 at 12 p.m. CST
  • Wednesday, February 22 at 2 p.m. CST
  • Thursday, February 23 at 1 p.m. CST
  • Wednesday, March 1 at 10 a.m. CST
  • Thursday, March 2 at 3 p.m. CST
  • Friday, March 10 at 9 a.m. CST
  • Tuesday, March 14 at 3 p.m. CST
  • Wednesday, March 15 at 1 p.m. CST
  • Friday, March 17 at 10 a.m. CST

How To Register

  • Once you’ve picked a session, go to eviCore.webex.com.
  • Choose the Training Center tab from the top menu.
  • Find the date and time of the session you want to attend in the Upcoming tab. All of the training sessions will be named “Preauthorization – Health Alliance Medical Plans.”
  • Choose Register.
  • Enter your registration information.

Attending Your Online Training Session

After you’ve registered, you’ll get an email that includes:

  • The toll-free phone number and pass code you’ll need for the session’s audio
  • A link to the online session
  • The session password

Save this registration email to access your session, and don’t forget to mark your calendar and ensure you’ll be able to fully participate in the session.

You can also access the presentation materials starting February 7 by using the eviCore Resources link in the Forms & Resources section of Your Health Alliance for providers. Or you can get a copy of the presentation slides by emailing ProviderRelations@evicore.com.

New Provider Site

August 11, 2016

Connect to our new site, built just for you, at Provider.HealthAlliance.org. Without logging in, you’ll be able to connect to:

  • Forms and Resources
  • Important announcements
  • Flashes
  • Newsletters
  • Coding Counts info

Now it’s easier than ever to connect to us anytime, anywhere.