All PlansPrior AuthMedium impact
Reminder: Prior Authorization for Genetic and Molecular Laboratory Services
Healthfirst·Oncology, Cardiology, Neurology +4 more·Prior Authorization
We identified it
Jun 20, 2026
Summary
This is a reminder that eviCore now provides prior authorization services for genetic and molecular laboratory services. Healthcare practices must obtain prior authorization through eviCore before ordering these specialized lab tests to ensure claims are processed and paid.
Action Required
Immediately: Billing team and providers must obtain prior authorization from eviCore before ordering any genetic or molecular laboratory services. Update workflow to include eviCore authorization step for these lab orders. Contact eviCore for authorization requirements and submission process. Claims may be denied without proper prior authorization.