eviCore-Managed Procedures

For Blue Cross commercial members

Providers must obtain authorization from eviCore healthcare® for outpatient radiation oncology.

Refer to the resources below for more information:

For Medicare Plus BlueSM members

Providers must obtain authorization from eviCore healthcare for:

  • Outpatient radiation oncology
  • Outpatient physical and occupational therapy services, for dates of service prior to April 1, 2022

    Note: For dates of service on or after April 1, 2022, prior authorization isn’t required for outpatient physical and occupational therapy services for Medicare Plus Blue members. Providers can submit retroactive authorization requests to eviCore through July 29, 2022, for dates of service prior to April 1.

Refer to the resources below for more information:

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