For Blue Cross commercial and Medicare Plus Blue members, providers must obtain authorization from eviCore healthcare^® for outpatient radiation oncology.

Refer to the resources below for more information:

• Procedure codes that require authorization by eviCore healthcare (PDF) — List of procedure codes eviCore reviews
• Services reviewed by eviCore for Blue Cross and BCN (PDF) — How to handle different types of authorization requests
• Authorizations Quick Reference Guide (PDF) — How to submit a request to eviCore
• eviCore coding guidelines for radiation oncology* (PDF)
• Oncology: For CAR-T cell therapy, medical oncology and radiation oncology (PDF) — Includes information about utilization management programs
• eviCore coding guidelines for radiation oncology* (PDF)

*Clicking this link means that you're leaving the Blue Cross Blue Shield of Michigan and Blue Care Network website. While we recommend this site, we're not responsible for its content.

eviCore healthcare is an independent company that contracts with Blue Cross Blue Shield of Michigan and Blue Care Network to manage authorizations for select services.