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CignaCommercial · Prior Auth · Prior Authorization · Cardiology, Radiology, Orthopedics +1 moreHigh impact

Prior authorization portal change coming October 31, 2026

Act
by Oct 31, 2026
Effective date
Oct 31, 2026
Identified
Oct 4, 2026

Summary

Effective October 31, 2026, EviCore is transitioning prior authorization requests for Cardiology, Radiology (High Tech Imaging), Joint Surgery, and Pain Management from the MedSolutions portal to the CareCore portal on EviCore.com. Providers must submit all new prior authorization cases through CareCore after this date, though existing MedSolutions cases can still be viewed. No changes to clinical criteria, covered services, or review processes.

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What to do

by Oct 31, 2026 · 6 steps
01Billing team and clinical staff must transition all new prior authorization submissions for Cardiology, Radiology (High Tech Imaging), Joint Surgery, and Pain Management to the CareCore portal on EviCore.com.
02Verify current EviCore login credentials work for CareCore access—new credentials are not required for existing users.
03Providers without existing EviCore accounts must create one to access CareCore.
04Update internal workflows and billing software templates to route these four service types to CareCore instead of MedSolutions.
05Attend EviCore training sessions (registration required) to learn CareCore portal navigation and case creation processes.
06After October 31, continue using MedSolutions only for viewing/editing previously created cases; all new cases must go to CareCore.
If missed: Failure to submit new prior authorizations through CareCore may result in processing delays or claim denials.

Original notice

Prior authorization portal change coming October 31, 2026
providernewsroom.com · Always check the source before changing claims.
View original ↗

Related policy hubs

Cigna policiesCardiologyRadiologyOrthopedicsPain Management

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