Provider Updates

Find out what you need to know and stay up to date on the latest news from Banner Medicare. 

12/20/2023 - Up to a 90-day Transition Period for New Members

In compliance with the Centers for Medicare & Medicaid Services (CMS) effective January 1, 2024, Banner Medicare Advantage will provide new members up to a 90-day transition period when a member is undergoing an active course of treatment and switches from a previous Medicare Advantage plan or Medicare Fee for Service to a Banner Medicare Advantage plan. 

If a member has newly enrolled with Medicare and joins a Banner Medicare Advantage plan, the transition policy will also apply. The option to request extended coverage up to 90 days from their previous benefit, out-of-network health care professional at network rates for a limited time due to a specific medical condition, until the safe transfer to a network health care professional can be arranged.  BMA members may submit a Continuity of Care form by visiting Banner Medicare Advantage - Continuity of Care Form.

04/04/2022 - eviCore Provider Portal | Technical Difficulty

Effective 4/01/22, providers have a new process with eviCore for requesting prior authorization. 

The eviCore provider portal is experiencing technical difficulty, some members and/or facilities are not populating within the portal. Providers will need to call in their requests while eviCore works to resolve. 

Rad/Card requests – (888) 693-3211  & Rad Therapy/Med Onc/MSK  Requests – (888) 444-9261

04/01/2022 - Provider Update

Topics in this issue include:

  • Changing Prior Authorization Process (eviCore)
  • Materials Available on Website
  • PCP Change
  • COVID-19 Updates
  • Behavioral Health and Integrated Care Medical Record Review Audit Notification
  • Provider Services & Support
  • Compliance Corner

Click here for the March 2022 - Provider Update