Ask EviCore: Portal Support | EviCore by Evernorth (2024)

Happy New Year! I’m Mark Tate, and my team works hard to make sure your experience working with EviCore is easy, fast, and collaborative. We welcome your feedback on how we’re doing and appreciate suggestions for future topics of this column.

Our topic for this month’s Ask EviCore is the EviCore web portal. Using the EviCore web portal is the most efficient way to initiate requests for prior authorization and check the status of an existing request. Our self-service web portal is available 24/7, enabling you to initiate and review authorization information at your convenience. We’re answering some of the most commonly asked questions that our portal-support team receives.

How do I access the portal?

The portal login can be found on the homepage at www.evicore.com, or on the Provider’s Hub page at https://www.evicore.com/provider. You will need to make sure the pop-up blocker is turned off in your web browser, or you will be unable to log-in to the site. The Provider’s Hub is a great resource for provider offices, and we encourage you to check it out.

If you are a new user and need to create an account, visit: https://myevicoreportal.medsolutions.com/User/Registration/Index.

Brief video tutorials to help you register on the portal can be found on the Provider’s Hub at: https://www.evicore.com/provider. Scroll down to the “Video Tutorials” section.

How can I change or update my password?

The easiest way to reset your password is by clicking “Forgot Password?” on the login dropdown. (This can be found in the green bar in the top-right corner of every page on the EviCore website.) The system will then send an automatic email to the registered email address with a link for setting your new password. If you do not receive the link, please use the Chat feature available at the bottom right-hand of the screen on the login page. You can also email us at portal.support@evicore.com, or reach us by phone at 800-646-0418, option 2.

Which platform should I use for this case – MedSolutions or CareCore?

If you scroll down the Provider’s Hubpage, you’ll see an option called, “I want to learn how to …” From the drop-down menu, select: “Start a New Prior Authorization.” You will need to select the health plan and the solution and then choose Start, and you will be directed to the platform you should use to submit a prior authorization request for your patient.

How can I check the status of a case?

At www.evicore.com you’ll find a handy shortcut in the green bar at the top right-hand of the page. Select, “Check Prior Authorization Status.” You will need to enter the health plan and click “Submit.” Then enter the Patient ID and Date of Birth, and click “Search.”

Regardless of the platform (and associated portal), users will need to log-in to see all of the available information on the case. Each portal offers a user worklist that will display all of your in-progress prior authorization cases. In the MedSolutions portal, the worklist can be found on the Home page. In the CareCore portal, you’ll find it under the Certification Summary tab. The worklist is searchable, and you can double-click into any case on your worklist. The date window can also be changed to show cases in the 7-, 14-, or 30-day window.

In 2018, we also rolled out a feature that allowed users of the CareCore National portal to create prior authorization requests that included multiple CPT codes (applies to Radiology and Cardiology managed through EviCore healthcare only). Since then, we’ve learned that many of you weren’t aware this helpful feature existed, so we wanted to send a reminder along with some easy-to-follow instructions to get you started. We also created a “Creating a Request with Multiple CPT Codes How-To Guide”.

Once you’ve logged in, you will be able to submit additional clinical information for a prior authorization case that is already in progress. Once inside the portal, select Search/Start Case and then click the “additional clinical upload” option.

How do I sign up for training?

EviCore Provider Orientation Sessions are free, last approximately one hour, and are usually offered on Tuesdays and Thursdays each week. All sessions are scheduled in Central Time. Please register in advance.

You can view the upcoming schedule and register for a webinar session here: https://evicore.webex.com/mw3300/mywebex/default.do?siteurl=evicore&service=7.

  • Select the “Upcoming” tab. In the search box above the tabs, type: EviCore Portal Training.
  • Choose the date and time for the session you would like to attend, and click the “Register” link beside it. (You will need to register separately for each session).
  • Complete the required information, and click the “Register” button.

Immediately after registering, you will receive an email containing the toll-free phone number, meeting number, conference password, and a link to the web portion of the conference. Please keep the registration email so you will have the web-conference information for the session in which you will be participating.

Who do I contact if I need help?

A chat feature is available on select pages of the website from 7a.m. to 8 p.m., ET, Monday - Friday. You can also email portal.support@evicore.com or call 800-646-0418, option 2.

Quick Links:

Here are a couple of quick links to help you get where you need to go fast.

Do you have any questions, feedback, or suggestions on how EviCore can improve the prior authorization process or the provider experience? Please share your feedback with Jackie Jenkins, the National Provider Advocate on my team, atprovidernewsletter@evicore.com. We also encourage you to email your ideas for future Ask EviCore columns.

Thank you for your continued partnership with EviCore. Together, we can help ensure your patients get the best possible care.

Mark Tate
Master of Physical Therapy
Vice President, EviCore Provider Experience
Ask EviCore: Portal Support | EviCore by Evernorth (2024)

FAQs

How do I request an EviCore authorization? ›

The EviCore portal is the quickest, most efficient way to request prior authorization. Providers can request authorization by logging in to the portal at EviCore.com/provider. EviCore's call center is open from 7 a.m. to 7 p.m. local time.

What is the phone number for EviCore Web support? ›

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

How do I upload documents to EviCore? ›

Upload Information

Login to your account at https://www.evicore.com/provider. Select the CareCore National portal and then select authorization lookup and upload additional clinical.

What is the turnaround time for EviCore prior authorization? ›

In the event of clinical urgency, eviCore healthcare will render a decision within 72 hours of the request. What is the decision time limit for a routine prior authorization decision? eviCore healthcare will render a decision on a routine prior authorization request within 14 calendar days of the original request.

How do I submit an authorization request on Availity? ›

Log in to Availity. Select Patient Registration menu option, choose Authorizations & Referrals, then Authorizations* Select Payer BCBSOK, then choose your organization. Select a Request Type and start request.

How to check authorization status on Availity? ›

In Availity, use the Auth/Referral Inquiry option, from the Authorization & Referral Home page. Using the Authorization number received from original request. Example CASE-1234567. The case returns with option to Print, Update, and Pin to Dashboard.

Who is eviCore owned by? ›

The Company was acquired by Express Scripts (NASDAQ: ESRX), the largest administrator of prescription drug benefits in the U.S., in December 2017.

What is the phone number for eviCore prior authorization form for radiology? ›

eviCore healthcare's prior authorization call center is available from 7:00 a.m. to 7:00 p.m. Eastern Time, Monday through Friday. The phone number is 844-303-8456. The web portal is available for access 24/7.

What insurance companies does eviCore work with? ›

Offered by: Cigna Health and Life Insurance Company, Connecticut General Life Insurance Company or their affiliates.

What is eviCore used for? ›

EviCore improves the quality of care patients receive without impeding the process or creating unnecessary gaps in care. All determinations are based on the individual patient's clinical information, history, and current presentation, preventing duplication of previously unsuccessful treatments.

How do I create an eviCore account? ›

To create a new account, click Register. Select CareCore National and complete the user registration form. Accept the Terms and Conditions, and click “Submit.” Page 9 User Registration-Continued 9 You will receive a message on the screen confirming your registration is successful.

Why is eviCore calling me? ›

EviCore's representatives are calling to offer choices about where you can receive your medical scan. Many of our partner health plans offer their members additional information about cost-effective and convenient locations.

Why is prior authorization bad? ›

Physicians in a new survey by the American Medical Association said prior authorization leads to delayed care and a high administration burden for physician practices. More than 90% of physicians said in a new survey that health plans' prior authorization requirements lead to delayed care and bad outcomes.

How can I speed up my prior authorization? ›

16 Tips That Speed Up The Prior Authorization Process
  1. Create a master list of procedures that require authorizations.
  2. Document denial reasons.
  3. Sign up for payor newsletters.
  4. Stay informed of changing industry standards.
  5. Designate prior authorization responsibilities to the same staff member(s).

How long does the average person spend on prior authorization? ›

On average, practices complete 45 prior authorization requests per physician, per week. Physicians and their staff spend an average of 14 hours—almost two business days—completing those requests each week. 35% of physicians have staff who work exclusively on prior authorizations.

What is the fax number for eviCore pre-authorization? ›

The quickest, most efficient way to obtain prior authorization is through the 24/7 self-service web portal at www.evicore.com. Prior authorization can also be obtained via telephone at 1-888-693- 3211 or fax at 1-888-693-3210.

What is the timely filing limit for eviCore? ›

Claims must be submitted within 120 days of the date of service or they will be denied for timely filing.

References

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