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What is the most effective way to get authorization for urgent requests? Urgent requests can be requested on the web portal at www.priorityhealth.com/provider or by calling eviCore healthcare directly at 844-303-8456 indicating the request is urgent.
The following is a list of Health Care Benefit Managers that UnitedHealthcare currently contracts with and the services they perform: eviCore Healthcare MSI, LLC dba eviCore Healthcare provides clinical prior authorizations for radiology and cardiology services.
eviCore healthcare will permit retrospective requests. Retrospective requests must be initiated by phone within 7 business days following the date of service. Please have all clinical information relevant to your request available when you contact eviCore healthcare.
You may not request a retrospective authorization for Priority Health Medicare Advantage patients. Under Medicare Part C (Medicare Advantage) rules, once a service has been rendered without obtaining prior authorization, it is considered to be post-service even if we have not received a claim.
eviCore empowers the improvement of care for providers by facilitating evidence-based decision making and quality reporting while reducing administrative burdens and costs. We promote transparent, shared decision making and ongoing education for new products and standards in the marketplace.
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eviCore is the recognized industry leader in medical benefits management, with more than 25 years of experience covering 100 million lives.
Who is eviCore healthcare? eviCore healthcare (eviCore) is an independent specialty medical benefits management company that provides utilization management services for Cigna Medicare Advantage.
To truly automate prior authorization requires an end-to-end approach that includes: An enterprise master patient index (EMPI) that correctly identifies the unique patient. Real-time eligibility and benefits verification. A single source for direct connections to all the payers that your organization does business with.
What is the most effective way to get authorization for urgent requests? Urgent requests can be requested on the web portal at www.priorityhealth.com/provider or by calling eviCore healthcare directly at 844-303-8456 indicating the request is urgent.
To truly automate prior authorization requires an end-to-end approach that includes: An enterprise master patient index (EMPI) that correctly identifies the unique patient. Real-time eligibility and benefits verification. A single source for direct connections to all the payers that your organization does business with.

evicore auth form