What treatment plans do you review, and what should I include?

Eviti Connect for Oncology reviews chemotherapy and radiation therapy treatment plans for patients with cancer.

Each payer must tell you whether to use Eviti Connect for Oncology for chemotherapy treatment plans, radiation therapy treatment plans, or both. Submit only treatment plans that the payer accepts. If you don't know which type of treatment plans a payer accepts, please call the payer.

Chemotherapy

For chemotherapy treatment plans, enter all chemotherapy and supportive drugs that the patient will receive during treatment.

Do not include pre- or post-treatment procedures such as X-rays or MRIs, or post-treatment as-needed drugs, such as pain medications.

Radiation therapy

For radiation therapy treatment plans, include only the codes associated with treatment delivery. To receive approval for planning and simulation codes, contact the payer directly.

Note: If you include the planning and simulation codes, we display them on the treatment plan summary for information only. You must contact the payer to get them approved.