Important information about eviCore healthcare therapy authorization requests for BCN
Here's some important information about submitting authorization requests to eviCore healthcare for outpatient physical, occupational and speech therapy and for physical medicine services by chiropractors for BCN HMOSM and BCN AdvantageSM members.
Reminder: Authorization no longer required for initial evaluations for therapies
As of May 27, 2019, initial evaluations for physical, occupational and speech therapy and for physical medicine services by chiropractors no longer require authorization. After completing an initial evaluation, please submit the authorization request for treatment visits to eviCore.
eviCore will void all authorization requests for initial evaluations. These requests will appear in the eviCore system with a status of Y.
For therapists who are affiliated with a group
When submitting authorization requests for physical, occupational and speech therapy, therapists who are affiliated with groups should use their group's NPI as the servicing site. This will enable eviCore to apply the correct category (A, B or C) to the request.
You can get additional information in the Outpatient rehabilitation services: Frequently asked questions document, which we've posted on the Outpatient PT, OT, ST webpage in the BCN section of this website.
Posted: June 2019
Line of business: Blue Care Network