Cigna and eviCore healthcare (eviCore) understand the importance of medical oncology clinical trials. Not only does clinical trials help with the discovery and perfection of new disease treatments, detection, and prevention, but they also give patients access to treatment options before they become widely available.

Medical Oncology Clinical Trial Matching

During the medical oncology prior-authorization process, eviCore performs a real-time search of the National Cancer Institute’s oncology clinical trial database to identify potential clinical trial matches for patients by proximity to the patient’s ZIP code.

Providers have the option to receive more information on any of the search results for consideration and discussion with their patients. Our goals are to increase awareness of clinical trial opportunities, help providers identify the best possible treatment options for their patients, promote the development of new medical evidence, and help patients achieve better outcomes.

Medical Oncology Clinical Trial Prior Authorization

eviCore manages medical oncology outpatient prior authorization requests for both pediatric and adult patients, including those receiving their treatment as part of a clinical trial. You may request prior authorization on the eviCore website (eviCore.com) or by calling eviCore at 866-668-9250.

Additional information

The following policies are available on the Cigna for Health Care Professionals website (CignaforHCP.com):

• Oncology Medications coverage policy (CignaforHCP.com > Review coverage policies: information on Cigna standard health coverage plan provisions > Pharmacy [Drugs & Biologics] A-Z Index: View Documents > Oncology Medications - [1403]).

Clinical Trial administrative policy (CignaforHCP.com > Review coverage policies: information on Cigna standard health coverage plan provisions > Medical and Administrative A-Z Index: View Documents > Clinical Trials - [A003]).