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eviCore healthcare — Profile & Review

eviCore healthcare is a ime / peer review / ur / bill review operating in the medical-record review and IME ecosystem. utilization management (cardiovascular, GI, lab, oncology, musculoskeletal, post-acute, radiation oncology, radiology, sleep); prior authorization/automation (intelliPath); care coordination; payment integrity (implant management)

3 sections·5 sources·Verified 2026-08-15 ✓
Disclosure
12/17 facts
01

What it does

utilization management (cardiovascular, GI, lab, oncology, musculoskeletal, post-acute, radiation oncology, radiology, sleep); prior authorization/automation (intelliPath); care coordination; payment integrity (implant management)

02

Evaluation criteria

IME Hub rubric5 of 8 published
Processing model
AI-Assisted + Human Clinical Review (AI only accelerates approvals)
Human QA
Included
Typical turnaround
~3 Days Initial Response; ~14 Days for Appeals
Pricing model
Not published
Indicative cost
Not published
Export formats
Not published
Best for
Health Plan Prior Authorization / Medical Necessity Review
Customer satisfaction
No public reviews found
03

Profile notes

Who it serves
group health; Medicare Advantage/managed care
Claims & platform notes
intelliPath (prior-authorization automation platform) Serves 100M+ patients (self-reported)
Review summary
Not independently rated in v1. Cited public reviews are listed in Sources; MedRecords assigns no star rating without verified evidence.

Key facts

Segment

IME / Peer Review / UR / Bill Review

Website

https://www.evicore.com

Founded

Not published exact year; site states "over 30 years of operation"

HQ

730 Cool Springs Blvd, Franklin, TN 37067

Headcount

Not published this pass

Ownership

Part of Evernorth (Cigna Group's health services division)

Certifications

NCQA; URAC; HITRUST CSF

Not publishedPricing · Turnaround

Sources

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Last verified: 2026-08-15