Clinical Expertise

CareCore National was founded by a diverse group of academic- and community-based physicians. Our industry leading model is to place physicians at the core of each of our product offerings and to establish the highest benchmark in evidence-based clinical review.

Our Specialty Benefit Management programs include a vast offering of customized radiology, cardiology and oncology solutions. Our clinical expertise in each specialty area is unparalleled in the industry. Additionally, CareCore National expands on our clinical base by employing over 30 physicians from nine different specialty areas and over 150 licensed nurses. Our robust staff of board-certified physicians are involved at every step of the benefit management process including the research and development of clinical criteria and quality management programs. We are dedicated to maintaining the most current, clinically relevant evidence-based medical necessity criteria when determining the appropriate utilization of radiology, cardiology and oncology services.