Radiation Therapy Program

This program is to help ensure that the radiation therapy services provided to our members are consistent with nationally recognized clinical standards. The Radiation Therapy program addresses a patient's specific disease state, stage and treatment goals and offers clinicians the necessary flexibility to render appropriate quality care in a timely manner.

Program eligibility and participation may vary based on line of business therefore, all providers should check eligibility and benefits prior to performing any services related to this program.

RESOURCES

• Medical Information Requirements
• V Review NCCI and MUE claim editing guidelines that eviCore follows in their processing of claims.
• Visit the American Society of Therapeutic Radiologists American Society of Therapeutic Radiologists opens a dialog window for information about radiation therapy billing

eviCore healthcare also manages Radiation Therapy Services provided to members enrolled in Horizon NJ Health plans and programs (including Medicaid Managed Care, NJ FamilyCare, Horizon NJ TotalCare (HMO D-SNP) and Managed Long Term Services & Supports (MLTSS).