eviCore will no longer mail Practice Profile Summaries and category information for outpatient physical therapy services starting in July
Beginning with July 2021 data, eviCore will no longer mail paper copies of the Practice Profile Summary, which includes information about your assigned category, to health care providers. Instead, eviCore will post category updates on the first business day of February and August each year beginning in August 2021.
Follow these steps to access your Practice Profile Summary and obtain your category:
If you believe there are circumstances adversely affecting your utilization data, you may still request reconsideration within 15 days of eviCore's notification. Initiate your reconsideration request within the UM Category window.
Additional information is available on the evicore.com website as follows:
You can also contact Provider and Client Services at 1-800-646-0418 for more information.
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Posted: March 2021
Lines of business: Blue Cross Blue Shield of Michigan and Blue Care Network