Effective April 15, 2016, CareCore National, LLC d/b/a eviCore healthcare (eviCore), an independent company, will offer precertification approvals for non-emergent outpatient radiation therapy services through an email notification. These notifications will only be available for those requests submitted through eviCore?s provider portal. Precertification requests retrieved over the phone will continue to receive fax notifications.

This new functionality will only apply to authorized contacts who have registered with a valid email address on the eviCore provider portal. The email notifications are fully compliant with the Health Insurance Portability and Accountability Act (HIPAA), and no Protected Health Information will be shared in the email. The notification is only to confirm that a specific case has been approved and will include instructions on how to log in to the provider portal to obtain the details. Denials will continue to be faxed to providers, though, and patients will continue to receive a letter to advise them of an approval or denial.

Sample email notification

Below is a sample of the content included in the email notification:

Requesting precertification

You can initiate precertification for non-emergent outpatient radiation therapy in one of the following ways:

• NaviNet^® web portal. Select eviCore/CareCore from the Authorizations option in the Independence Workflows menu.
• Telephone. Call eviCore directly at 1-866-686-2649.

NaviNet is a registered trademark of NaviNet, Inc., an independent company.