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Any experience dealing with eviCore? Medical procedure denied!

Heart & Blood Health | Last Active: Jun 5 6:57am | Replies (19)
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@rcmyer

Sorry to say, BCBS is no better, they also use evicore. They deny authorization for mris or any other radiology testing that my doctor has requested. So how are we supposed to find out what is causing my ongoing leg, hip and back pain issues? Does evicore think they know what is better for me than my doctor? So what, are we just supposed to suffer or worse? Something should be done about this. What do we pay monthly premiums for ? Pay your $35.00 copay to see a specialist who prescribes tests and then they get denied by evicore.

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Replies to "Sorry to say, BCBS is no better, they also use evicore. They deny authorization for mris..."
rcmyer | @rcmyer | Jun 3 10:04am

I was just informed by my doctor that my mri autorization was denied because I have to have 6 weeks of therapy at $35.00 a crack and then it will have to be resubmitted. So, I have to pay at least $420.00 out of pocket for 6 weeks of therapy and then maybe they will authorize it. Also my pain gets much worse with any kind of strengthening excercises. What a crock. They also told me that BCBS Advantage is about the worst insurance to deal with. I think that each different insurance company sets the standards that evicore follows. They should change the name to Nevercore... I will be looking elsewhere for insurance in December.

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