Eliminate unwarranted variability in care through the application of nationally-accepted treatment standards at the moment of clinical prescribing, ensuring that compliance takes place at the front-end as opposed to back-end review after treatment has begun.
Selecting an evidence-based treatment that offers the best outcome at a lower cost than a competing therapy creates value-based care that benefits all parties.
- Patients have peace of mind that they are receiving the most appropriate treatment for their disease and can anticipate their out of pocket costs.
- Physicians can demonstrate the prescription of high quality care and receive appropriate reimbursement from the payer.
- Payers are assured the member is getting the right care at the lowest cost.
Enable high quality oncology care
Provide oncologists in your network with access to a comprehensive library of evidence-based treatment options which can be filtered and pinpointed to the patient’s specific diagnosis for optimal decision making.
Streamline operational workflows
Improve claim processing efficiency and reduce denials and appeals with an “Eviti code” which is provided when a physician chooses an approved evidence-based clinical guideline, thereby validating appropriate treatment and pre-adjudicating the claim.
Ensure appropriate reimbursement
Have visibility at the moment of prescribing, while your network providers are assured the treatments they recommend meet the clinical requirements for reimbursement.
Integrate medical policies
Automate the process of verifying that treatments meet your plan’s medical policy and plan language before the treatment is selected and ordered.
Indicate payer preferences
Highlight preferred regimens to indicate treatments aligned with payer-specific observed outcomes or higher reimbursement opportunities.
Eviti Provider Network
Eviti Connect is used by over 5,000 oncology practices nationwide