eviCore To Manage Highmark’s Advanced Imaging and Cardiology Services Program Beginning Jan. 1, 2019

As announced in a Special eBulletin dated Oct. 1, 2018, Highmark is partnering with eviCore healthcare for a new Advanced Imaging and Cardiology Services Program, effective Jan. 1, 2019. This program incorporates a comprehensive, evidence-based clinical review, including predictive intelligence, clinical decision support, and peer-to-peer discussions.

The eviCore program will replace the National Imaging Associates (NIA) program. However, eviCore will oversee the same Highmark members and issue prior authorization for largely the same set of advanced diagnostic imaging and cardiology services with a few additions.

Thank you for your continued assistance in ensuring that Highmark members receive necessary services in a high-quality, clinically appropriate fashion. We appreciate your support and the care you provide to our members and your patients.

For more information, see the Special eBulletin, which was posted on our online Provider Resource Center (PRC). Additionally, you can find detailed information about the new Advanced Imaging and Cardiology Services Program on the PRC under Care Management Programs.