Evolent (formerly National Imaging Associates, Inc.) does not endorse or guarantee references or sites listed unless indicated (ex. APA Clinical Practice Guidelines), and no unfavorable inference should be drawn from failure of any resource to be listed here.

Some information in this Website may not apply to the reader and may vary by applicable state law, provider agreement and/or client contract. In the event of a discrepancy between information on this Website and the benefit plan documents, provider agreement(s) and/or applicable state law, the plan document(s), provider agreement(s) and/or state laws will control.

To maintain the confidentiality of patient protected health information, a secure username and password are required to access certain online applications.

Certain of Evolent's online applications require data feeds from its customers. Information displayed in online applications is current in accordance with the parameters outlined within the application. Payment of benefits is subject to the member's eligibility on the date of service and all other contractual provisions of the plan.

At Evolent, we are committed to leveraging innovative technologies to enhance the quality, consistency, and efficiency of clinical reviews. Please be advised that we may utilize artificial intelligence (“AI”) in various aspects of our complex utilization management process to help ease administrative burdens and improve the speed, consistency, and accuracy of clinical decisions. Where allowed, our use of AI may include, but is not limited to, clinical document review, reviewer-assisting services, and certain medical necessity determinations and approvals.

While AI helps us improve the accuracy and speed of our services, we continue to maintain human control over decision-making by ensuring expert human review and oversight. Our use of AI is not used to automate adverse decisions. Final decisions are made with careful consideration of clinical guidelines, patient-specific characteristics, laws and regulations, and provider input. We encourage providers to contact us directly if there are any questions or concerns regarding specific decisions or processes.

This disclaimer is provided to ensure transparency and collaboration between Evolent and our valued partners.