Provider QP1-21 Pharmacy Benefit Update – Revised Drug-Related Prior Authorization (PA) Requirement Notification – Effective March 1, 2021 Read More Program effective Date: Jan 13, 2021
Provider QP3-21 Commercial and MHCP Pharmacy Benefit Exclusion for Barhemsys® and Monoferric® Read More Program effective Date: Jan 13, 2021
Provider QP123-20 Validation of National Drug Codes Submitted with Medical Drug Claims Read More Program effective Date: Dec 23, 2020
Provider P81R1-20 Update: eviCore Healthcare Specialty Utilization Management (UM) Program - Cardiology and Radiology Clinical Guideline Updates for Fully Insured Commercial and Medicare Advantage Subscribers Read More Program effective Date: Jan 04, 2021
Provider P5-21 New Reimbursement Policy: Outpatient Services Prior to an Inpatient Admission Read More Program effective Date: Jan 04, 2021