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Evidence-based Specialty Benefit Management
 
CareCore Radiology

CareCore Radiology works with each client to strategically identify opportunities to improve utilization and enhance quality through seamless solutions that integrate all aspects of patient centered care. Read more…

CareCore Cardiology

CareCore Cardiology provides health plans with comprehensive high-quality and cost-effective programs for cardiac care including benefit management of cardiac imaging and implantable devices. Read more…

CareCore Oncology

CareCore Oncology provides management tools that focus on the appropriate reimbursement and utilization management of oncology drugs, and high-cost injectable and chemotherapeutic agents. Read more…

CareCore Sleep Management

CareCore Sleep Management provides comprehensive quality and utilization management of sleep diagnostic and therapeutic services. Read more…

CareCore Radiation Therapy

CareCore Radiation Therapy addresses the appropriateness of technology, treatment plan goals, nationally recognized standards of care, and associated billing of radiation therapy services. Read more…

CareCore Pain Management

CareCore Pain Management maximizes quality care delivered to patients with acute and chronic pain using criteria developed from best practices and the most current available evidence. Read more…


URAC     Accredited Health Utilization Management NCQA Certification     Utilization Management
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Current News
CareCore National Recognized as Thought-Leader in Virtual Computing Environment by Technology Giants EMC, Cisco and VMware
Electronic Fund Transfer Now Available for Provider Claim Reimbursement
CareCore National to Implement Echocardiography Privileging Standards for Horizon BCBS November 30, 2009
Transthoracic Echocardiography Program for Horizon BCBS Effective July 1, 2009
Aetna Expanded Cardiology Program Effective August 1, 2009
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