Treatment plan statuses
Treatment plans may appear in any of the following statuses. All treatment plans that you started but haven't yet submitted appear in the Unsubmitted tab.
- Eviti Code
- We issued an Eviti code for the treatment plan, which means it follows
evidence-based guidelines and health plan language, and represents appropriate
care for the patient.
If you need the authorization right away, please call the payer. Find their number on the patient's member ID card.
- Eviti Code Not Issued
- We did not issue an Eviti code for the treatment plan, which means one of the
following:
- The treatment plan does not meet evidence-based guidelines or health plan language.
- You didn't supply sufficient medical records for a treatment plan that didn't receive an automatic Eviti code.
- We requested a peer-to-peer clinical discussion with the treating physician, but it did not occur.
To request more information about a rejected treatment plan, call the payer, or call NantHealth Support at 1-888-482-8057.
- Pending Eviti Review
- You submitted a treatment plan that our medical office must review, but we have
not yet finished the review.
If you need an expedited medical review, call NantHealth Support at 1-888-482-8057.
- Peer to Peer Required
- If treatment plan deviations go beyond data entry errors, our physician requests
a peer-to-peer clinical discussion with the treating physician to gather
information and to ensure that the physician prescribes the appropriate
treatment.
If a peer-to-peer clinical discussion has not yet been scheduled, contact NantHealth Support at 1-888-482-8057.