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FLASH: May 2017 Preauthorization Changes

As we’d shared in our February newsletter, we notified offices of the May 1 preauthorization changes. However, sleep studies was missing from that notification.

See the full listing of services that will require preauthorization effective May 1 below. These preauthorizations will handled by eviCore.

  • Sleep studies
  • Genetic testing
  • Outpatient medical oncology – Oncology pathway drugs
  • Outpatient radiation therapy
  • Outpatient specialty therapy
    • Chiropractic
    • Physical, occupational, and speech
  • Outpatient Musculoskeletal – All joint/spine surgery and pain management

We will have Health Alliance and eviCore webinars in April to help offices with these changes and to help office staff become familiar with eviCore’s processes.