M
Payer Directory

How to check MedSolutions Incorporated (Evicore) eligibility

A portal or phone check takes a front-desk staffer 10–15 minutes per patient. MedSolutions Incorporated (Evicore) has no eligibility API — so instead of your staff doing that, our screen agent runs the portal check for you, on your schedule.

Payer ID 62160Screen agent · setup required

Three ways to verify MedSolutions Incorporated (Evicore) coverage

  1. Payer portal — free, but one patient at a time and 10–15 minutes each with logins.
  2. Phone (IVR) — hold times vary; no written record for the chart.
  3. Automated 270/271 check — full benefit detail in seconds, batched for the whole schedule, from $0.50 per check.

MedSolutions Incorporated (Evicore) at a glance

What billers need before running a check.

Payer ID
62160
Also known as 1825
Real-time eligibility
Via screen agent
MedSolutions Incorporated (Evicore) has no eligibility API, so our screen agent runs the portal check for you on your schedule. Setup required.
Coverage
medical
Operating area
Not published
Payer website
www.evicore.com

Supported transactions

What can be exchanged electronically with MedSolutions Incorporated (Evicore) today.

TransactionStatus
Eligibility (270/271)
Real-time benefit and coverage checks
NOT AVAILABLE
Claim status (276/277)
Where a submitted claim stands
NOT AVAILABLE
Professional claims (837P)
Physician and outpatient claims
SUPPORTED
Institutional claims (837I)
Facility claims
SUPPORTED
Dental claims (837D)
Dental claims
NOT AVAILABLE
Remittance (835 ERA)
Electronic remittance advice
ENROLLMENT REQUIRED
Coordination of benefits
Secondary-payer routing
NOT AVAILABLE
Claim attachments (275)
Supporting documentation
NOT AVAILABLE

Portal vs. phone vs. automated

The same verification, three ways.

Payer portalPhone / IVRAutomated check
Time per patient10–15 min15–30 minSeconds
Cost per check~$7.97 staff time*~$7.97+ staff time*from $0.50
Record for the chartScreenshotNoneFull audit trail
Whole-day scheduleOne at a timeOne at a timeBatched overnight

*CAQH Index benchmark for a manual eligibility verification.

Frequently asked questions

What is the payer ID for MedSolutions Incorporated (Evicore)?+
MedSolutions Incorporated (Evicore) uses payer ID 62160. It also appears as 1825 in some systems.
Does MedSolutions Incorporated (Evicore) support real-time eligibility verification?+
MedSolutions Incorporated (Evicore) has no eligibility API, so there is no 270/271 transaction to send. Checks still run automatically: our screen agent performs the portal check for you on your schedule, rather than a staff member doing it per patient. Setup is required. Claims can be submitted electronically.
How long does a MedSolutions Incorporated (Evicore) eligibility check take?+
A portal check takes 10–15 minutes of staff time per patient. A screen agent runs the same check without occupying anyone — scheduled ahead of the day's appointments, so results are waiting rather than being fetched one patient at a time.

Run your first MedSolutions Incorporated (Evicore) eligibility check

From $0.50 per check, pay-as-you-go. No contract, no implementation project.

Billing more than MedSolutions Incorporated (Evicore)? — upload it and see which of your payers run automatically.

65%
fewer denials at Valley Diabetes & Obesity
90%
of eligibility checks fully automated
$107–149K
annual savings, small specialty practice
24 mo
in production