Utilization Review Determinations As you all know, in 2017 we entered into a partnership with eviCore for managing certain preauthorization and utilization management requests. Some providers may be communicating to patients that eviCore is making coverage decisions.
Utilization Review Determinations As you all know, in 2017 we entered into a partnership with eviCore for managing certain preauthorization and utilization management requests. Some providers may be communicating to patients that eviCore is making coverage decisions.
We were having you send preauthorizations on CPAPs and supplies for certain self-funded group plans through the Your Health Alliance preauthorization forms. Starting February 1, please send these preauthorizations through eviCore instead.
Our provider directories are a key resource for our members to reach you. Members use them to search for new providers, get directions to clinics, and find contact information to schedule appointments.
You can now submit preauthorizations through eviCore on Your Health Alliance for providers again. We had been experiencing a service interruption, but that has been resolved and everything is now working correctly.