New Radiology Benefits Manager – eviCore healthcare

Effective January 1, 2020, our radiology benefits manager will transition from National Imaging Associates (NIA) to eviCore healthcare.

eviCore will provide Utilization Management programs for Radiation Therapy and Radiology/Cardiology for Horizon NJ Health and Horizon NJ TotalCare (HMO SNP) members effective January 1, 2020. However, eviCore will begin accepting authorization requests on December 16, 2019 for dates of service beginning January 1, 2020.

Provider Orientation Sessions
In the coming weeks, eviCore healthcare will lead orientation sessions designed to assist providers with the new utilization management programs. You will be able to attend the web orientation session that works best for you and your schedule.

During these sessions, we will discuss prior authorization requirements for Radiation Therapy and Radiology/Cardiology services and explain how to navigate the eviCore website. Time and participation permitting, this training session will be followed by a question-and-answer session. We encourage you to attend one of these informative sessions to ensure your understanding of the prior authorization process for Radiation Therapy and Radiology/Cardiology services.

Registration
All online orientation sessions require advance registration. Each online orientation session is free of charge and will last approximately one hour.

Radiation Therapy Provider Orientation
Day of the Week Date Time
Thursday 12/12/2019 12 p.m., ET
Monday 12/16/2019 1 p.m., ET
Friday 1/3/2020 11 a.m., ET

 

Radiology/Cardiology Provider Orientation
Day of the Week Date Time
Tuesday 12/10/2019 10 a.m., ET
Wednesday 12/18/2019 2 p.m., ET
Monday 1/6/2020 10 a.m., ET

How to register
Please read the following instructions to register for and participate in a session:

  1. Please go to eviCore.webex.com
  2. Under the eviCore logo, click on the 3 lines, Select WebEx Training.
  3. Click the Upcoming Tab. Choose the applicable session:
    • Horizon NJ Health and Horizon NJ TotalCare (HMO SNP) Radiation Therapy Provider Orientation
    • Horizon NJ Health and Horizon NJ TotalCare (HMO SNP) Radiology/Cardiology Provider Orientation
  4. Click Register next to the session you wish to attend.
  5. Enter the registration information.

After you have registered for the conference, you will receive an email containing the toll-free phone number, meeting number and conference password, along with a link to the web portion of the session.Please keep the registration email so you will have the link to the Web conference and the call-in number for the session in which you will be participating.

If you are unable to participate in a session, you can obtain a copy of the presentation as well as other important documents at eviCore.com. Documents are available in PDF format. If you need Adobe Reader, you can download it from www.adobe.com/products/reader/.

If you have any questions regarding the eviCore web portal, please contact the Web Support team via email at portal.support@evicore.com or via phone at 1-800-646-0418 (option 2). For any Client or Provider inquiries not associated with this training, please email ClientServices@evicore.com.

Published on: November 22, 2019, 02:29 AM ET
Last updated on: November 22, 2019, 08:32 AM ET