Care management programs

Radiology management
Fallon partners with eviCore healthcare to provide authorization services for high-tech outpatient elective diagnostic imaging procedures for your patients. Authorization is required for CT scans (including CTA), MRI/MRA studies, Nuclear Cardiac Imaging (NCM), and PET scans.

SmartChoice program
SmartChoice is a high-tech radiology (CT, MRI) program administered by eviCore healthcare. As a built-in component of your standard communication with eviCore healthcare for such screenings, eviCore healthcare will recommend more affordable high-tech radiology facilities you might use when you select a higher-cost location for your initial request.

Sleep studies and therapy prior authorization and utilization management program
Fallon partners with Sleep Management Solutions (SMS) to provide sleep diagnostic and therapy management services for selected Fallon product lines.