Funds’ Partnership with eviCore healthcare Can Help Reduce Disparities

To help ensure your 1199SEIU patients receive the highest, most consistent standard of cancer care, the 1199SEIU Benefit Funds partnered with eviCore healthcare. Using established, evidence-based clinical pathways, eviCore supports clinicians in pursuing the most effective course of action for medical oncology treatment by reviewing pre-service elective radiation therapy and medical oncology services, as well as outpatient high-tech radiology and nuclear cardiology studies. This process helps maintain consistency in diagnoses and treatment methodology and reduce disparities in treatment and outcomes for 1199SEIU cancer patients. The partnership between the Benefit Funds and eviCore, as well as the prior authorization process, can limit patients’ exposure to potentially harmful radiation treatments and encourage a more holistic and patient-centered approach to healthcare delivery.

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Enhancements to eviCore Streamline Prior Authorization Process

The 1199SEIU Benefit Funds are enhancing their partnership with the eviCore Healthcare Review Program to help ensure that your 1199SEIU patients receive the most consistent standard of cancer care. These changes, which will go into effect on October 1, include...

ClaimsXten Select Frequently Asked Questions (FAQs)

ClaimsXten Select is a clinically based claims-editing software solution that advances claims-auditing capabilities and resolves limitations in the current ClaimCheck software. ClaimsXten Select offers clinical coding logic and rules-based claims management with the...

Benefit Funds to Upgrade Our Claims Auditing Software

Effective March 1, the Benefit Funds will upgrade our claims-auditing platform, from ClaimCheck to ClaimsXten, to meet our needs for a more comprehensive and well-known solution that is used by many payers to adjudicate applicable claims according to prevailing...

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