Payer coverage
eviCore healthcare prior authorization, automated.
Docflow automates eviCore healthcare prior authorizations for sleep, DME and other services, from submission to decision.
This is how you try Docflow: a 30-day pilot, fully refundable if you're not satisfied.
Reserve your start week.
What your team deals with on eviCore healthcare.
eviCore healthcare, part of Evernorth, reviews prior authorizations for many health plans across sleep, durable medical equipment, imaging, therapy and more. Requests go through the eviCore portal and can include clinical questions and uploads.
- The case number from submission has to stay tied to the order for every later check.
- Requests that need more clinicals pend, and the clock keeps running.
- Decisions post in the portal, not in your system.
From order to decision, without your team logging in.
- 01
Build the request
Docflow reads the order and clinicals from your system and fills in everything eviCore healthcare asks for.
- 02
Submit it
Docflow signs in to eviCore healthcare with your team's login, submits the request and attaches the documents.
- 03
Follow it to a decision
Docflow checks back every 12 hours until there's a decision, and flags any request for more information to your team.
- 04
Write it back
The decision and authorization number land in your system, on the right order, with a record of every step.
eviCore healthcare questions.
Does Docflow track eviCore case numbers?
Yes. Docflow records the case number against the order in your system and uses it for every status check after that.
Can Docflow upload clinicals to eviCore?
Yes. Docflow attaches the clinicals the request needs at submission, and again if eviCore asks for more.
Does Docflow need its own eviCore healthcare account?
No. Docflow uses your team's login, stored encrypted, so requests are submitted under your organization like they are today.
How long does it take to get started?
Start with a 30-day pilot on your real work. If you're not satisfied, you get a full refund.
Other portals Docflow submits on.
Hand us your eviCore healthcare queue.
Start with a 30-day pilot, fully refundable if you're not satisfied.
This is how you try Docflow: a 30-day pilot, fully refundable if you're not satisfied.
Reserve your start week.