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Updated Radiation Therapy Clinical Guidelines

September 1, 2016

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Effective September 2, 2016, updated Independence Radiation Therapy Clinical Guidelines will be used by CareCore National, LLC d/b/a eviCore healthcare (eviCore), an independent company.

Independence requires precertification/preapproval through eviCore to manage requests for select outpatient, non-emergent radiation therapy services for members enrolled in its commercial and Medicare Advantage plans. eviCore will use the updated Radiation Therapy Clinical Guidelines to determine the medical necessity for the delegated radiation therapy services. To access the updated guidelines, go to eviCore's Radiology Tools and Criteria page and scroll down to "Independence Blue Cross."

Requesting precertification

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

  • NaviNet® web portal. Select CareCore from the Authorizations option in the Independence Workflows menu.
  • Telephone. Call eviCore directly at 1-866-686-2649.
If you have any questions, please contact your Network Coordinator.

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

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