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MSK Authorization Will Transition from eviCore to Highmark on May 1, 2026
Highmark·PA, DE, WV, NY · Orthopedics, Pain Management, PM&R (Physical Medicine & Rehab) +2 more·Provider Bulletin
Effective date
May 1, 2026
We identified it
Feb 23, 2026
Summary
Effective May 1, 2026, Highmark is taking over musculoskeletal (MSK) and interventional pain management authorization requests from eviCore. Providers must submit all MSK and IPM authorization requests through Availity Essentials portal using Highmark's new AuthAI tool for faster processing.
Action Required
Before May 1, 2026: Billing team must transition from eviCore to Availity Essentials portal for all MSK and IPM authorization requests. Train staff on new Highmark authorization workflow and AuthAI tool. Update internal procedures to use Availity portal instead of eviCore system. Prepare to provide additional information during initial submissions to expedite decisions.