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- Carecore Authorization Form
CareCore National Registering for a UserName / Password for the Provider Portal Overview The CareCore National Website includes a provider portal which allows registered providers to start Clinical.
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Participates FAQ
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CareCore National is now eviCore Healthcare.
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Simply visit the eviCore's Provider's 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.
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Calling CareCore at 1-866-496-6200, Monday through Friday, between 7 a.m. and 7 p.m., Eastern Time (ET), and Saturday and Sunday between 9 a.m. and 5 p.m., ET. Faxing a completed Fax Submission Form to 1-800-637-5204 for the Radiology/Imaging Program and 1-888-785-2480 for the Cardiology Imaging Program.
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The talents, technologies and tactical expertise of CareCore | MedSolutions are now unified as eviCore healthcare (eviCore). The recently merged companies combined to deliver innovative MBM solutions designed to bring better outcomes to everyone involved in the healthcare system: patients, providers and payers alike.
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eviCore healthcare will render a decision on a routine prior authorization request within 14 calendar days of the original request. However, the usual turnaround time is a few days.
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Managed Care PlansManaged Care Plans. NJ SHBP/SEHBP Benefit PlansNJ SHBP/SEHBP Benefit Plans. FEPFEP. Braven Health℠ Medicare Advantage PlansBraven Health℠ Medicare Advantage Plans.
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You can also email portal.support@evicore.com or call 800-646-0418, option 2.
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If you are in a situation where submitting a retrospective prior authorization request is necessary, first verify that the patient's health plan allows retrospective requests. If so, then you can submit the request via eviCore's web portal or via fax, as you would a typical prior authorization request.
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Related links form
- IRS Publication 3319 2015
- IRS Publication 3319 2013
- IRS Publication 3319 2012
- IRS Publication 4220 2018
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