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Cigna works with eviCore healthcare (eviCore, formerly CareCore | MedSolutions) to provide high-quality, cost-effective services to Cigna customers in most markets for outpatient, nonemergency, high-technology radiology and diagnostic cardiology services.
How do I get a prior authorization from insurance?
Your doctors office is responsible for obtaining prior authorization. They will submit a request to your insurance provider to get approval, whether its for a service or for a medication. Usually, your physician will have a good idea of whether they need to get prior authorization.
Is Regence a TPA?
Regence administers medical, dental and prescription benefits for self-funded group plans, in addition to fully-insured individual and group plans. Self-funded groups establish their own benefits and Regence is the third-party administrator that provides administrative services for their benefit plans.
Does Regence use eviCore?
We partner with eviCore Healthcare (eviCore) to manage our Physical Medicine program for spinal surgeries, pain and joint management, physical medicine and therapies.
What are prior authorization forms?
A prior authorization form will include information about you, your medical conditions, and your health care needs. Its important to fill out the form completely and accurately. Incomplete or incorrect information could delay your request or result in a denial.
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OPM 98-63 October 16, 1998 TO: All Appointing Authorities - OK - ok
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.
Are Regence and Blue Cross Blue Shield the same?
Regence is the name given to Blue Cross and Blue Shield plans in four northwestern states. Serving 2.2 million members, Regence offers health insurance plans under the following names.
Does Blue Cross use EviCore?
EviCore is pleased to announce we are expanding our partnership with Excellus BCBS to provide authorization services for additional cardiology procedures. As of October 1, 2022 outpatient transthoracic echocardiography and transesophageal echocardiography will require prior authorization from EviCore healthcare.
regence bcbs prior authorization form
Regence BlueShield Idaho Pre-Authorization Medication list
Jan 1, 2024 Pre-Authorization (PA) supports coverage of safe, effective, and high value medications, helping you and your doctor choose quality.
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