eviCore provider portal, phone and payer ID quick facts
| Provider portal | https://www.evicore.com/provider |
|---|---|
| Provider phone | 1-800-792-8744 |
| Claims payer ID | Verify in clearinghouse payer list |
| Eligibility payer ID | Verify in clearinghouse payer list |
| ERA payer ID | Clearinghouse-specific |
| Timely filing | Plan-specific |
| Prior auth route | X12 278 plus provider portal |
| Last reviewed | 2026-04-23 |
- eviCore does not publish one reliable national timely-filing limit for this payer record. Verify the controlling plan document, provider agreement, denial notice, or jurisdictional rule.
- eviCore does not expose one verified national ERA payer ID in this registry. ERA enrollment and 835 routing are clearinghouse- and product-specific; verify in the payer portal or clearinghouse payer list before enrollment.
eviCore at a glance
| Legal name | eviCore healthcare (EviCore by Evernorth) |
|---|---|
| Also known as | eviCore healthcare, EviCore by Evernorth |
| Category | Third-party administrator (TPA) |
| Parent organization | Evernorth Health Services (Cigna Group) |
| Claims payer ID | Not published |
| Eligibility (270/271) payer ID | Not published |
| ERA (835) payer ID | Clearinghouse-specific |
| NAIC company code | Not published |
| States covered | Nationwide (50 states) |
| Provider portal | https://www.evicore.com/provider |
| Provider phone | 1-800-792-8744 |
Always verify claims-routing details against the member ID card and the payer's current EDI companion guide before submission.
Timely filing & appeals for eviCore
eviCore does not publish one reliable national timely filing window for this payer record. Verify the member ID card, regional provider manual, denial notice, or provider agreement before treating a claim as timely.
| Submission type | Window |
|---|---|
| In-network initial claim | Plan-specific / verify source |
| Out-of-network initial claim | Plan-, region-, or jurisdiction-specific |
| Secondary / coordination of benefits | Verify from primary EOB and payer-specific rules |
| Corrected / appeal | 60 days from denial |
Appeal levels
- Level 1: First-Level ReconsiderationFile within 60 days
Written request for claim reconsideration with supporting documentation, filed within the stated window of the denial notification.
- Level 2: Second-Level Formal AppealFile within 60 days
Formal appeal reviewed by a party not involved in the initial determination; typically requires the first-level decision letter.
- Level 3: External / Independent ReviewFile within 120 days
External Independent Review Organization (IRO) review per ACA §2719 and applicable state law.
Source: eviCore provider policy. Always confirm before disputing a TFL denial — payer policies are versioned and product-specific.
Prior authorization with eviCore
eviCore accepts X12 278 prior-authorization transactions electronically. The procedures most commonly subject to prior authorization include advanced imaging, inpatient admissions, specialty pharmacy, and certain outpatient surgical procedures. Use the payer's authorization tool below to confirm requirements per CPT before scheduling a service.
eviCore maintains a live prior-authorization code lookup tool that supersedes any cached list. Use the provider portal or the policy documents below to confirm the current PA list before rendering a service.
Top denial reasons for eviCore
Per-payer denial benchmarks publish here once the QuickIntell anonymized ETL pipeline ingests sufficient eviCore volume. Until then, see the broader CARC reference for industry-wide remediation guides.
Electronic claims, eligibility & ERA
| Transaction | Supported | Payer ID |
|---|---|---|
| 837P / 837I claims | Yes | — |
| 270 / 271 eligibility | No | — |
| 278 prior authorization | Yes | — |
| 835 ERA | No | Clearinghouse-specific |
Payer IDs vary by clearinghouse — confirm against your clearinghouse payer list (Availity, Change Healthcare/Optum, Waystar) before configuring submitter routing.
QuickIntell coverage for eviCore
- QuickAuth
Automated prior-authorization submissions and status checks for eviCore services that require PA.
Frequently asked questions about eviCore
Where is the eviCore provider portal?
The eviCore provider portal is available at https://www.evicore.com/provider. Use it for eligibility checks, claim status, prior authorization workflows, appeals, and payer-specific routing updates. QuickIntell links to the payer's provider-facing portal as a reference and is not the official payer portal.
What is the timely filing limit for eviCore?
eviCore does not publish one reliable national timely filing limit for this payer record. Verify the member ID card, provider agreement, regional manual, jurisdictional workers' compensation rule, or denial notice before disputing a TFL denial.
Does eviCore publish a single claims payer ID?
eviCore does not publish a single canonical claims payer ID — routing is plan- or jurisdiction-specific. Look up the correct ID per member in your clearinghouse directory (Availity, Change Healthcare/Optum, Waystar) and verify against the member ID card before submission.
Does eviCore accept electronic claims?
Yes — eviCore accepts ANSI X12 837P and 837I electronic claims through standard clearinghouses. Real-time eligibility (270/271) is not currently supported and X12 278 prior authorization is supported.
How do I appeal a eviCore denial?
eviCore uses a 3-level appeal process. Level 1 (First-Level Reconsideration) must be filed within 60 days of the denial. Each escalation level requires the prior decision letter and supporting clinical or coding documentation. See the appeal-levels block above for deadlines and process.
How long do eviCore prior authorization approvals take?
eviCore's prior-authorization decision turnaround typically follows standard industry windows: 72 hours for urgent requests and up to 14 calendar days for non-urgent requests. Specialty drugs and high-cost imaging may extend further. Submit through X12 278 or the eviCore provider portal for the fastest turnaround.
What is the eviCore provider phone number?
Providers can reach eviCore at 1-800-792-8744 for claims status, eligibility verification, and authorization questions. Have the member ID, date of service, and tax ID ready before calling. Most operational tasks are faster through the provider portal at https://www.evicore.com/provider.
Run cleaner claims to eviCore with QuickIntell
QuickAuth, QuickRCM, and QuickERA are validated against eviCore's EDI behavior — eligibility, prior auth, claim scrubbing, and ERA posting all run on real payer rules.
Disclaimer
This page is operational reference for medical-billing professionals. It is not legal, clinical, or contractual advice. Payer policies change without notice — always verify against eviCore's current published documents before submission. CPT® is a registered trademark of the American Medical Association.