We want our members to get the best care for the best cost. And we know you do, too. That’s why we partner with eviCore for prior authorization. eviCore uses evidence-based guidelines for their review process. We trust that our partnership with them supports our members and your work.
Log in to Benefit Tracker or call our customer service team toll-free at 800-592-8283.
Most often, eviCore reviews advanced imaging for radiology and cardiology (CT and PET scans, MRIs, etc.) and musculoskeletal services (chiropractic, acupuncture, massage, physical and occupational therapy, etc.). They may review different services for different plans. Please see the following list of CPT codes that require prior authorization:
Overview of how Moda works with eviCore
Guide to handling denied prior authorizations
If you have questions about intensive outpatient rehabilitation authorizations for the treatment of autism spectrum disorder or neurodevelopmental conditions, please contact our Healthcare Services team at 800-592-8283.
If you can't find an answer, please feel free to contact our Customer Service Customer Service Customer Service
If you can't find an answer, please feel free to contact our Customer Service
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Producer DashboardWe have exciting news to share. ODS is changing its name to Moda Health.
Moda comes from the latin term "modus" and means "a way". We picked it because that's what we are here to do: help our communities find a way to better health.
Together, we can be more, be better.
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Please select the state you live in, or the state where your employer is headquartered, so we can tailor your experience:
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