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Effective July 1, 2016, precertification will be required for genetic/genomic tests and certain molecular analyses for commercial HMO, PPO, and POS members. AmeriHealth New Jersey is partnering with CareCore National, LLC d/b/a eviCore healthcare (eviCore), an independent company for utilization management of these services.
Providers have been notified of this change and may begin requesting precertification for certain genetic/genomic tests scheduled on or after July 1, 2016.