# eviCore healthcare — Profile & Review | Medrecords AI

> 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)

Canonical page: https://medrecords.ai/ime-hub/services/evicore-healthcare/

---
## 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)

## Evaluation criteria

| Criteria | Detail |
|---|---|
| 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 |

## 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.

**Competitive coverage:** [AI Prior Authorization Platform Map](https://rxalmanac.com/articles/ai-prior-auth-platform-comparison/)

## Key facts

- **Segment:** IME / Peer Review / UR / Bill Review
- **Website:** [https://www.evicore.com](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)
- **Pricing:** Not published
- **Turnaround:** Not published
- **Certifications:** NCQA; URAC; HITRUST CSF

## Sources

- [eviCore healthcare website](https://www.evicore.com)
- [eviCore - Getting to Yes Faster](https://www.evicore.com/insights/getting-yes-faster-medical-necessity-reviews)
- [EviCore - Wikipedia](https://en.wikipedia.org/wiki/EviCore)
- [ProPublica denials investigation summary](https://strengthenhealthcare.org/icymi-denials-for-dollars-propublica-reveals-how-evicore-helps-corporate-insurers-deny-care-to-increase-their-bottom-lines/)
- [Rx Almanac: AI Prior Authorization Platform Map](https://rxalmanac.com/articles/ai-prior-auth-platform-comparison/)

Last verified: 2026-08-15