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Musculoskeletal Solution Evidence-based Medicine eviCore

Musculoskeletal Solution Evidence-based Medicine eviCore 2025

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The document is a Pain Management Prior Authorization and Medical Necessity Determination Request Form used by healthcare providers to submit non-urgent or urgent requests for musculoskeletal benefit management. It requires detailed patient and provider information, diagnosis, procedure codes, previous treatment history, and clinical findings to facilitate the authorization process. The form emphasizes the importance of providing complete information to avoid delays and includes confidentiality notices regarding HIPAA regulations.

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What is the fax number for health net prior authorization?

Health Net Prior Authorization Department Lines of BusinessContact NumbersProvider Portal Websites Medi-Cal (including CalViva Health and Community Health Plan of Imperial Valley) Fax: 800-743-1655 Phone: 800-421-8578 Transplant fax: 833-769-1141 provider.healthnetcalifornia.com3 more rows Aug 7, 2024

What is considered evidence-based medicine?

Evidence-based medicine (EBM) uses the scientific method to organize and apply current data to improve healthcare decisions. Thus, the best available science is combined with the healthcare professionals clinical experience and the patients values to arrive at the best medical decision for the patient.

What is the fax number for eviCore authorizations?

The quickest, most efficient way to obtain prior authorization is through the 24/7 self-service web portal at .evicore.com. Prior authorization can also be obtained via phone at (888) 693-3211 or fax at (888) 693-3210.

How do I contact eviCore?

You can also email portal.support@evicore.com or call 800-646-0418, option 2.

What insurance company uses EviCore?

As of 2024, over one hundred insurance companies outsourced utilization review to EviCore, including Aetna, Blue Cross Blue Shield, and UnitedHealthcare, as well as some states Medicaid programs.

How do I submit a prior authorization to eviCore?

Simply visit the EviCores Providers Hub page and select the health plan and solution option for your case in the training section. The instructions on how to submit a case and a link to the correct portal to use will be provided.

What is the fax number for EviCore musculoskeletal?

Forms can be faxed to 800.540. 2406. Note: When initiating requests on the portal or by phone a real-time authorization may be experienced. All fax submissions will go through clinical review and do not have the option for a real-time authorization.

Musculoskeletal Solution Evidence-based Medicine eviCore 2025

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