EviCore by Evernorth
Going beyond traditional utilization management to partner with you from beginning to better.
Every care journey deserves support.
But too often, people face their treatment alone. There are not enough connections, clarity or resources to help them move forward.
We've all faced the frustration:
+ Delays in treatment
+ Systems that don’t have your information
+ Experiences that don’t deliver the quality of care you deserve
+ Processes that leave you wondering about the next step for yourself or a loved one
EviCore by Evernorth reshapes how people experience and connect to care.
We’re prioritizing the member experience to deliver high-quality, timely care without unnecessary burdens. We focus on whole-person health and supportive experiences for both members and providers to help ensure safety and effectiveness. This closes gaps while connecting people to case management and community resources.
90% member satisfaction score—driven by empathy, clarity and care coordination1.
Leveraging cutting-edge technology to responsibly modernize policies, processes and systems, we’re eliminating barriers to care and reducing inefficiencies. From user-friendly provider portals to bidirectional Electronic Medical Record (EMR) connectivity and automation, we're raising the bar in delivering transparent, evidence-based care with speed
80% of cases approved in minutes—increasing speed to care and reducing administrative burden2.
Leveraging health insights and clinical expertise, we anticipate member and provider needs to uniquely deliver new value. This approach accelerates access to treatment and facilitates faster care, earlier diagnosis and greater transparency. By identifying needs early, we improve outcomes and lower costs for both members and their plans.
27 days saved using our insights—accelerating cancer diagnosis and treatment3.
Future-ready solutions and services
Advanced clinical support
and expertise
Combining expert guidance, smart automation and accelerated care delivery to cut administrative hurdles and streamline policy development beyond traditional UM:
+ Clinical review support
+ Policy development
Health care
operation integrity
Delivering value by aligning payments with member benefits and quality outcomes through accurate claims, payment integrity and streamlined processes:
+ Provider networks
+ Claims management
+ Payment integrity
Core utilization
management engine
Reviewing member treatments and procedures to ensure medical necessity, safety, coverage and cost-efficiency:
+ Prior authorization
+ Proprietary claim edits
+ Post acute/home health/durable medical equipment
Member tools, engagement
and navigation
Supporting members through network and cost transparency, concierge support, education and scheduling services:
+ Preventive care and outreach
+ Site of care optimization
+ Care navigation and planning
+ Scheduling and transitions of care
Our commitment to a better future
Providers
Providers can expect easier use of tools and technology that enable faster, more accurate and uninterrupted care delivery.
Members
Members can expect simplified access to high quality and timely care—without being caught in the middle.
Plans
Plans can expect a partner in reimagining the status quo, collectively driving change for a better system now and into the future.
Sources
- Internal member satisfaction survey data for October YTD 2025 Cigna IC/SOC and Cigna Preventive Care Outreach
- Total PA cases approved <1 hour out of all cases approved YTD November 2025
- Based on breast cancer Early ID models, customers identified 27 days sooner than diagnosis claims data + 10 days sooner than PA data