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  • Welcome to RadMD. com
    RadMD is a user-friendly, real-time tool offered by Evolent that provides ordering and rendering providers with instant access to prior authorization requests for specialty procedures Whether submitting exam requests or checking the status of prior authorization requests, providers will find RadMD to be an efficient, easy-to-navigate resource
  • RadMD: Online Access to Evolent
    RadMD: Online Access to Evolent RadMD is a user-friendly, real-time alternative or supplement to our call center Our system provides instant access to much of the prior authorization information that our call center staff provides
  • Authorization Requirements - RadMD
    Track Authorizations View Exam Requests Authorization Request Verification Get Exam Request Evolent does not reward through financial incentives practitioners or other individuals for issuing denials Our decisions are based only on appropriateness of care, service, and existence of coverage
  • RADMD | Contact Us
    For assistance, please contact the Provider Support Team at: RadMDSupport@Evolent com 1-800-327-0641 Please note: We strongly recommend using RadMD to request a prior authorization If you do need to call, please use the phone number that has been designated for your Evolent prior authorizations That number can be found on RadMD and may vary according to the member’s health plan If you are
  • RADMD | Appeals
    RadMD offers you an efficient way to send appeals to our team, and we hope you will take advantage of this latest enhancement to our website When Evolent manages clinical appeals for a health plan partner, 'Initiate Appeal' will be located at the top of the exam request verification details screen if the authorization request has been denied
  • Capital Blue Cross Clinical Validation Review Quick Reference Guide
    A key goal of the expanded program is to reduce unnecessary imaging for our members and ensure the most appropriate test for patients in support of their care needs Evolent uses several clinical review processes to ensure program integrity, quality and clinical appropriateness of the care Capital Blue Cross members receive These processes include Evolent ’s proprietary algorithms
  • How To Fax Clinical Documentation - RadMD
    Evolent may request member medical records additional clinical information Validation of clinical criteria within the member’s medical records is required when requested There are two ways to send clinical information: via the RadMD upload feature (preferred method) or the optical character recognition (OCR) case-specific fax cover sheet
  • User Agreement - RadMD
    RadMD is an Internet-based online radiology benefits manager and information service ("Services") for Evolent client health plans and their providers BY ACCESSING OR USING RadMD, YOU AGREE TO BE BOUND BY THE TERMS AND CONDITIONS BELOW
  • RADMD | Maintenance
    Evolent RadMD portal will be undergoing scheduled portal maintenance beginning Saturday, September 20, 2025, at 9:30 p m CST through Sunday, September 21, 2025, 4:30 a m CST
  • Evolent Frequently Asked Questions (FAQ’s) Superior HealthPlan Prior . . .
    Providers are encouraged to utilize RadMD com to request prior authorization of therapy services If providers are unable to use the website, they may call 1- 800-642-7554 Beginning November 29, 2021, RadMD and the Evolent Call Center will be available to request authorization for services on or after December 1, 2021 Any services rendered on and after December 1, 2021, will require





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