EviCore Guidelines

Cardiology, radiology, and musculoskeletal services authorization requests are submitted to eviCore at evicore.com or by calling 1-888-564-5492, 7 a.m. – 7 p.m. Services requiring authorization in less than 48 hours due to medically urgent conditions should be submitted online or over the phone. Providers must indicate that the procedure is not routine or standard.

Prior to the authorization request, gather all relevant clinical information related to the condition and available at the time of request:

  • Physician exam notes
  • Results of relevant tests
  • Lab results
  • Prior imaging and X-ray reports
  • Patient history
  • Physical findings
  • Signs and symptoms
  • Office visits

For more information about eviCore, review the Quick Reference Guide.