A telephone contact point for securing permission from a healthcare benefits management company, specifically eviCore healthcare, prior to receiving certain medical services or procedures. This number facilitates the authorization process required by many insurance plans to ensure medical necessity and appropriate utilization of healthcare resources. Contacting this number typically involves providing patient information, the requested service details, and relevant medical documentation to justify the need for the procedure.
The availability of this contact point is crucial for both healthcare providers and patients. For providers, obtaining proper authorization ensures reimbursement for services rendered, preventing potential claim denials and revenue loss. For patients, pre-authorization can prevent unexpected out-of-pocket expenses, allowing them to make informed decisions about their healthcare. The use of such access facilitates managed care objectives, promoting cost containment and ensuring that patients receive medically necessary and appropriate care within the parameters of their insurance coverage.