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 HMO^SM and BCN Advantage^SM 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.

Additional information

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.