Search results with tag "Evicore"
Obstetrical Ultrasonography - Oxford Health Plans
www.oxhp.comOxford has engaged eviCore healthcare to perform initial reviews of requests for pre-certification and Medical necessity reviews. To pre-certify a radiology procedure, please call eviCore healthcare at 1-877-PRE-AUTH (1-877-773-2884) or log on to the eviCore healthcare web site using the Prior Authorization and Notification App. eviCore ...
CODING GUIDELINES - eviCore
www.evicore.comeviCore Radiation Therapy Coding Guidelines These guidelines summarize definitions and appropriate use of several CPT® codes. These guidelines are not meant to be all -inclusive, but are meant to be used in conjunction
Kentucky Medicaid MCO Prior Authorization Request Form ...
www.uhcprovider.comHealthcare WellCare of Kentucky Anthem Blue Cross Blue Shield Not all plans require PAs for the same services. Check with the plan before submitting Please complete all appropriate fields ... Radiology (eviCore) 1-888-693-3211 1-888-693-3210 Vision (Avesis) 1-855-214-6676
Radiology Procedures Requiring Prior Authorization for ...
www.uhcprovider.comRadiology Procedures Requiring Prior Authorization for eviCore healthcare Arrangement Page 3 of 16 UnitedHealthcare Oxford Clinical Policy Effective 12/01/2021 ©1996-2021, Oxford Health Plans, LLC . Applicable Codes .
Medical Prior Authorization List (Small and Large Group ...
hf.orgStarting 1.1.22, all services that were previously delegated to eviCore Healthcare will be managed directly by Health First Health Plans for Small and Large Group members. This includes genetic testing, nuclear medicine procedures, hightech imaging- (including cardiac imaging/testing), and sleep related services/devices.
Radiology Procedures Requiring Precertification for ...
www.oxhp.comRadiology Procedures Requiring Precertification for eviCore healthcare Arrangement Page 1 of 13 ... any federal or state regulatory requirements, and the member specific benefit plan coverage prior to use of this Clinical Policy. Other Policies may apply. ... inclusive. Listing of a code in this policy does not imply that the service described ...
RADIATION THERAPY PROGRAM - Center Care
www.centercare.comeviCore’s role in the radiation therapy program Important notes › It is the responsibility of the performing facility or health care professional to confirm precertification
Office manual for health care professionals
www.aetna.comCareCore National doing business as (d/b/a) eviCore healthcare - Gloucester, Mercer and Salem counties), Vermont High-tech radiology - Facility-based sleep studies
eviCore healthcare and Cigna Integrated Oncology ...
www.evicore.com1 eviCore healthcare and Cigna Integrated Oncology Management Program Frequently Asked Questions Who is eviCore healthcare? eviCore healthcare (eviCore) is an independent specialty medical benefits management company that provides
eviCore Oncology Imaging Guidelines - Effective 2/14/2020
www.evicore.com400 Buckwalter Place Boulevard, Bluffton, SC 29910 (800) 918-8924 www.eviCore.com Page 6 of 295. Oncology Imaging Brain imaging is performed for signs or symptoms of brain disease ® MRI Brain without and with contrast (CPT 70553) is the recommended study for evaluation of suspected or known brain metastases. ...
eviCore Chest Imaging Guidelines
www.evicore.com400 Buckwalter Place Boulevard, Bluffton, SC 29910 (800) 918-8924 www.eviCore.com Page 7 of 87. Chest Imaging CH-1.6: General Guidelines – Nuclear Medicine 78597 Quantitative differential pulmonary perfusion, including imaging when performed 78598 Quantitative differential pulmonary perfusion and ventilation (e.g., aerosol or gas), ...
eviCore Radiation Oncology Guidelines - V3
www.evicore.comNorcross, GA) and the GALILEO™ Intravascular Radiotherapy System (Guidant Corp., Houston, TX) deliver beta radiation, while the Cordis Checkmate™ System (Cordis Corp., Miami, FL) delivers gamma radiation. Each operates in a similar fashion. A delivery catheter is placed in the coronary artery at the site of instent restenosis and a transfer -
eviCore Radiation Oncology Coding Guidelines Effective 1 …
www.evicore.comC. 77300 (Basic radiation dosimetry calculation) CPT ® code 77300, basic radiation dosimetry calculation, is billed for a mathematical computation of the radiation dose at a particular point, a calculation related to source decay, or another independent calculation. Calculations are required for both external beam radiation therapy and
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