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Pain Management Frequently Asked Questions Who is EviCore? EviCore is an independent specialty medical benefits management company that provides utilization management services for Aetna. Which members
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Begin by visiting the official website of Evicore.
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Locate the section that provides information about the company and its services.
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Read through the company overview to understand its purpose and offerings.
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Identify key services offered by Evicore, such as utilization management and clinical review.
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Take note of any specific qualifications or areas of expertise highlighted in the content.
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Review any case studies or client testimonials to gain insight into the effectiveness of Evicore's services.

Who needs who is evicore?

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Healthcare providers looking for efficient management of medical necessity reviews.
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Insurance companies needing support for claims management and utilization review.
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Patients requiring information on benefits and care management processes.
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Health plans and employers seeking to improve healthcare costs and outcomes.
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Evicore is a healthcare technology company that provides clinical solutions and services aimed at improving patient outcomes and reducing unnecessary healthcare costs through evidence-based decision-making.
Entities that require prior authorization for certain medical services or procedures, particularly in the context of insurance or managed care, may be required to file with Evicore.
To fill out information for Evicore, users typically need to provide patient details, requested services, and relevant clinical information through their online portal or forms as specified by Evicore.
The purpose of Evicore is to streamline the prior authorization process, ensuring that requested medical services are appropriate and justified based on clinical guidelines.
Information that must be reported includes patient demographics, provider information, insurance details, service or treatment requested, and any supporting clinical documentation.
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