EviCore by Evernorth
EviCore by Evernorth (EviCore) offers proven, diversified medical benefits management solutions that help clients reduce costs while increasing quality of care for their members. The company provides these solutions to managed care organizations and risk-bearing provider organizations serving commercial, Medicare, and Medicaid populations. Powered by a team of specialized medical professional resources, extensive evidence-based guidelines, and advanced technologies, EviCore supports clients by ensuring the right evidence-based care is delivered at the right time to the right patient at the right site of care. Flexible medical benefits management solutions are offered in: Radiology; cardiovascular; Musculoskeletal; Medical Oncology; Radiation Therapy; Specialty Drug Management; Sleep; Lab Management; and Post-Acute Care. EviCore manages lives nationwide and is URAC-accredited and NCQA-certified.www.evicore.com
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Search complete. 7 mentions across 1 episode found for "EviCore by Evernorth".
Sep 23, 2026
Jared PisetskyHOST
Um, so, you know, the n- the last topic we wanna talk about is, is, uh, billing and coverage for benign disease, you know, osteoarthritis, plantar fasciitis, um, which I know has been a hot topic.
Jared PisetskyHOST
But I guess the first part of this I wanted to discuss is kind of a segue from the, the Aetna issues is I know that there's been some, uh, uh, documents produced by eviCore recently about their, uh, anticipated coverage and, and changes for benign disease.
Jared PisetskyHOST
So could you let our listeners know, uh, what they have proposed and, uh, what, what we are kind of doing to, to, uh-
Terri BedardHOST
Yeah.
Terri BedardHOST
Sure.
Terri BedardHOST
Yeah.
Terri BedardHOST
So eviCore has-- it's their clinical guidelines for radiation oncology, and it's not set to go into effect until November 5th, which is kind of interesting that they, they put this out there and there's kind of this a, a lag or this long time between the-- when it actually goes into, into effect.
Terri BedardHOST
So currently, eviCore within their policy for the treatment of benign dis- conditions, um, they have covered, uh, when it comes to things like osteoarthritis or plantar fasciitis.