CareCore National
Hospitals and Health CareSouth Carolina, United States501-1000 Employees
CareCore National, now operating as part of eviCore healthcare after merging with MedSolutions, provides medical benefits management services. Headquartered in Bluffton, South Carolina, the organization serves beneficiaries across all 50 states and holds URAC accreditation and NCQA certification. Its core offering centers on medical benefits management with the goal of reducing costs while guiding providers and patients toward evidence-based care. In the payer and health-plan landscape, clients rely on its processes for medical necessity determinations and prior authorization for care. A recent development is that Highmark Health signed on as a new client to evaluate the appropriateness of imaging studies and other procedures and medications.