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eviCore healthcare — Profile & Assessment

eviCore healthcare publishes 5 of the 8 buying facts this rubric checks, including turnaround but not pricing. eviCore healthcare operates in the medical-record review ecosystem, within the IME / Peer Review / UR / Bill Review segment. This profile records what the company publishes, maps it to the Content Hub evaluation rubric, and cites every source behind it. 12 of 17 facts are confirmed from 5 public sources; unpublished fields are marked, never estimated.

4 sections·5 sources·Verified 2026-08-21 ✓
Disclosure
12/17 facts
01

What it does

eviCore healthcare publishes these service lines: utilization management (cardiovascular, GI, lab, oncology, musculoskeletal, post-acute, radiation oncology, radiology, sleep), prior authorization/automation (intelliPath), care coordination and payment integrity (implant management). Everything above is drawn from the 5 public sources cited at the foot of this page. Fields the company does not publish are marked as unpublished below rather than estimated.

Key facts

Segment

IME / Peer Review / UR / Bill Review

Website

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

Ownership

Part of Evernorth (Cigna Group's health services division)

Certifications

NCQA; URAC; HITRUST CSF

Not publishedPricingTurnaround
02

Evaluation criteria

Content Hub rubric5 of 8 published
Processing model
AI-Assisted + Human Clinical Review (AI only accelerates approvals)
Human QA
Included
Typical turnaround
~3 Days Initial Response; ~14 Days for Appeals
Best for
Health Plan Prior Authorization / Medical Necessity Review
Customer satisfaction
No public reviews found
Not published
Indicative cost, pricing model, and export formats go unstated, as they do across most of this market. The questions to ask instead are below.
03

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 by Medrecords AI. Cited public reviews are listed under Sources; Medrecords AI assigns no star rating without verified evidence.
04

What to confirm before you sign

eviCore healthcare publishes 5 of the 8 fields in the Content Hub rubric. Across the 27 IME / Peer Review / UR / Bill Review vendors profiled here, the median is 4 of 8. Of the three it leaves unpublished, these two matter most.

  1. How do you charge — per page, per file, per hour, or per seat?
    Get the unit before you scope a pilot. A per-hour or per-seat quote and a per-page quote behave very differently once a file runs past 1,000 pages.
    Pricing model96% of IME / Peer Review / UR / Bill Review vendors leave this unpublishedOurs: flat per page, no seats, no subscription
  2. What does a real 1,000-page file cost, all in?
    Ask for a worked example rather than a rate card. Duplicate pages, rush fees and monthly minimums are where the quoted rate and the final invoice separate.
    Indicative cost100% of IME / Peer Review / UR / Bill Review vendors leave this unpublishedOurs: from 10¢ to as low as 5¢ a page, duplicates free

The other seven questions, and what all 270 profiled vendors do and do not publish, are in the evaluation guide.

Sources

How Medrecords AI does this work

eviCore healthcare works in medical-record review. Medrecords AI does this category of work as software: the record sorted, deduplicated and read in minutes, every statement cited back to its page, and a qualified human signs off on what it means.

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Last verified: 2026-08-15