eviCore-Managed Procedures

For Blue Cross commercial members

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

Note: eviCore managed interventional pain management procedures and lumbar spinal fusion surgeries for Blue Cross commercial members through Dec. 31, 2020. For dates of service on or after Jan. 1, 2021, these services are managed by TurningPoint Healthcare Solutions LLC; refer to the Blue Cross Musculoskeletal Services page on this website for more information.

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

Note: eviCore managed interventional pain management procedures and lumbar spinal fusion surgeries for Medicare Plus Blue members through Dec. 31, 2020. For dates of service on or after Jan. 1, 2021, these services are managed by TurningPoint Healthcare Solutions LLC; refer to the Blue Cross Musculoskeletal Services page on this website for more information.

Refer to the resources below for more information:

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