Most online requests are approved at intake in five minutes or less. UserName Password To reset your password please enter your user name and press Reset Password! Regardless of any preauthorization or benefit determination, the final decision regarding any treatment or service is between the patient and the health care provider. Scroll within the drop-down menu to see all the health plans available. Account Access Page - Forgot Password Account Access. In order to ensure the highest security standards, the platform that CareSource utilizes for sending secure email will be undergoing security enhancements. For requests that require additional consideration, our team of nurses and physicians are available to consult with your practice.
For additional information, refer to the. We place a high value on the things providers care most about: clinical integrity, streamlined workflow, and a collaborative approach. You can also refer to the for additional information. . Reminder: Always Check Eligibility and Benefits First Benefits will vary based on the service being rendered and individual and group policy elections.
You will receive a call or email back within 24 business hours Monday - Friday 8:30am-5:00pm. These clinical guidelines may be accessed via. Log in by selecting your patient's health plan from the drop-down menu. We have provider engagement representatives, who are dedicated to providing support for inquiries and specialized training. Based on the information you provide, we will review both the requested advanced imaging scan for clinical appropriateness and the level of care against health plan clinical criteria.
We will also identify alternate free-standing imaging locations and provide those to the physician when the authorization is requested and reviewed. We offer convenient access to valuable resources such as current clinical guidelines and worksheets, comprehensive tutorials that overview specific registration and submission processes, and program tools and criteria. This change will take effect on June 3, 2018. An eviCore participating provider username and password for access to the eviCore payment rules is required. Aim Provider Portal Aim Imaging Provider Portal Aim Login Provider Portal Aim Phone Number For Providers Aim Prior Authorization Blue Cross Aim Provider Portal Aim Provider Portal 2.
If you have any questions about the products or services provided by such vendors, you should contact the vendor s directly. The providers have made a 12-month service booking and then you can pay yourself after services have been provided. Even if nurse reviews or peer-to-peer evaluations have to be made, your programs all run smoothly. I forgot my password I forgot my username Unlock my account. An online application, Provider Portal processes your requests in real time, providing you with a central location to obtain authorizations required by your patients' health plans. All service bookings are individual requests for a product or service is required to post payments in my place portal.
There is no grace period if the service is not performed. If you are having technical difficulty please send an email to. Our enhanced solutions were designed based on feedback from practices like yours. I love the quick response I get when using the Provider Portal. A Predetermination of Benefits is a written request for verification of benefits prior to rendering services. The portal will not allow you to create this third service booking, as it overlaps in dates with the second one, so in order to change to get around this error message, you need to put the service booking at the beginning of August, this is a screenshot of the participant portal, so participants who have an agency managed plan can increase and decrease service bookings in their participant portal. For program-specific information, along with helpful worksheets and tutorials, visit the on the eviCore website.
The purpose of this tutorial is to show basic functionality of Provider Portal for general discussion and training purposes only. After a one-time registration, you may use this portal to initiate a case, check status, review guidelines, and more. How can we help you? It is not intended as a means to evaluate the details or performance of actual product. Let me answer my security questions Send me email. That's important in our busy world. Our Process Our review process encompasses: Imaging Study Review Using the patient's clinical information that you submit, we conduct a clinical appropriateness review of your advanced imaging request against our evidence-based clinical guidelines or your patient's health plan medical policy.
Submit online eligibility and benefits requests electronic 270 transactions via the or your preferred web vendor portal. Regardless of any preauthorization or benefit determination, the final decision regarding any treatment or service is between the patient and their health care provider. Eligibility and Benefits Reminder: An eligibility and benefits inquiry should be completed first to confirm membership, verify coverage and determine whether or not pre-certification also known as pre-notification or preauthorization is required. Appeals Appeals eviCore participating providers may be subject to payment rules specific to Radiology. All actions performed by the logged in user are deemed to be electronically signed by the user. So in this example here, if you provided services in January and Feb 2 or plan ad, you cannot claim for services provided before May, on Plan B and vice versa, so this here shows how you can create a second service booking if they request additional services.
Some of the features shown may not reflect your actual experience and are set by system and health plan specific rules. Get Started Register or log in to. How to Obtain Benefit Preauthorization There are two ways to submit benefit preauthorization requests to eviCore. This includes prior authorization for high-tech imaging services. Call the eviCore Customer Service department at 800-575-4517 if you have any questions or need more information.
Speed Your Review Request Our pioneering Provider Portal technology is the fastest, easiest way to submit your request. We also furnish our providers access to important contact information so that they can reach the appropriate department for immediate assistance. Can't find your patient's health plan? It is the quickest, most efficient way to obtain information. Imaging Clinical Site of Care Review Imaging Clinical Site of Care is an expanded program in which we review clinical criteria to determine if an imaging service requires a hospital-based outpatient setting, which offers a higher intensity of service resources, or if a free-standing imaging center is a clinically appropriate and available alternative. It is critical to check eligibility and benefits for each patient to confirm coverage details.