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).
Because of the likely impact of Hurricane Irma on eviCore's contact centers in Florida and South Carolina, they are enacting their disaster response plan. They expect this will impact their operations between Saturday, September 9 and Tuesday, September 12. Because of this, you may experience longer phone hold times than normal.
We received notice that atenolol, a common blood pressure medication, is on a national backorder, and all manufacturers are having supply issues. As a result, pharmacies in our service areas have been running out of the medication and calling providers for substitutions.
Last week, we sent an InforMED flash about issues with submitting preauthorizations for DME providers. This issue has been resolved, and you should be able to submit preauthorization requests online for our members now.
Submitting Therapy Preauthorization Requests on eviCore Recently, there's been some confusion around therapy preauthorization (PA) requests on eviCore. This chart can help make sense of who you need to make preauthorization requests for and the timeframes for those requests: