Care Management Programs

Laboratory Management Program
The resources contained on this page will assist providers in their understanding of the Laboratory Management Program

Physical Medicine Management Program
The materials contained in this location will assist the provider in their understanding of the Physical Medicine Management Program.

Radiation Therapy Authorization Program
In an effort to help ensure that the radiation oncology therapy services provided to our members are consistent with nationally recognized clinical guidelines, Highmark has contracted with eviCore healthcare to provide medical necessity review and authorization where applicable for select radiation oncology therapy services.

Radiology Management Program
eviCore provides medical necessity review and authorization, where applicable, for select outpatient Cardiology and Radiation Therapy services for Highmark members. You can review eviCore's evidence-based clinical guidelines by accessing eviCore's Highmark implementation site at evicore.com/healthplan/Highmark.

Last updated on 1/31/2019

 

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