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Category: InforMED Flash

FLASH: Temporary Changes to Therapy Preauthorizations

October 17, 2017

After many discussions with providers and partners, we’ve decided to make significant temporary changes in the rollout of our preauthorization program with eviCore. In order to provide additional time for education, communication, and collaboration around this program, we’ll be significantly reducing or eliminating the clinical assessment required for getting therapy... View Release

FLASH: eviCore Spine Surgery Clinical Criteria Update

September 11, 2017

Starting September 15, preauthorizations for spine surgery will no longer require documentation of patient-reported outcome measures, including the modified Japanese Orthopaedic Association (mJOA), Short Form Health Survey Score/Mental Component Summary (SF-36 MCS) or the Oswestry Disability Index (ODI). Any cases currently in the appeal process that were denied based solely... View Release