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Guidelines guide employees through a process or a task. They give general recommendations of how to perform a task, or advice on how to proceed in a situation. They usually provide a good overview of how to act in a situation where theres no specific policy or standard.
eviCore works with health plans to help their members like you avoid unnecessary care that is costly and potentially unsafe. We do that by applying the latest evidence-based medical guidelines through a process sometimes referred to as prior authorization.
eviCore healthcare (eviCore) A medical benefits management company offering solutions to help health plans and other organizations reduce costs while increasing the safety and quality of care for members.
Were here to help! Thank you for submitting. You will be contacted by an eviCore representative within 5 business days. If you do not hear back from us within 5 business days, please call 800-792-8744, option4.
The prior authorization process uses evidence-based clinical guidelines to ensure that every health plan member receives the most appropriate care while avoiding unnecessary exposure to potentially harmful substances, as well as additional costs.

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eviCores evidence-based clinical guidelines are based on the most current information from medical societies, as well as scientific evidence from recently published, peer-reviewed medical literature.

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