Banner Criteria Links

Banner Plans & Networks (BPN) Utilization Management department uses nationally recognized evidence-based criteria guidelines when Medicare does not have established criteria guidelines for certain covered medical services. These third-party clinical coverage guidelines include eviCore and MCG Health.

Link to MCG Cite Guideline Transparency (CGT)

https://bannerhealth.access.mcg.com/index

Link to eviCore Clinical Guideline

https://www.evicore.com/provider/clinical-guidelines