EviCore by Evernorth
Overview
EviCore by Evernorth is the largest delegated utilization management and medical benefit management company in the US, making evidence-based prior authorization determinations for health plans in areas like imaging, cardiology, oncology, and specialty care; its intelliPath ePA tool integrates PA into provider EHR workflows.
Notable
Formed from the merger of MedSolutions and CareCore National; 25+ years of UM experience; rated #1 PA/UM vendor by managed care clients in a 2026 industry survey.
Key services
- delegated prior authorization and UM
- evidence-based medical policy
- intelliPath electronic prior authorization
- site-of-care management
Subcategories
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