eviCore

Bluffton, United States Founded: 1992 • Age: 34 yrs Acquired By Express Scripts
Medical benefit management solutions are delivered to healthcare organizations.
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About eviCore

eviCore is a company based in Bluffton (United States) founded in 1992 was acquired by Express Scripts in October 2017.. eviCore has completed 2 acquisitions, including Palladianhealth and QPID Health. eviCore offers products and services including Prior Authorization Automation and EviCore intelliPath®. eviCore operates in a competitive market with competitors including Genomics, Assurecare, ZeOmega, Cricket Health and Patients Know Best, among others.

  • Headquarter Bluffton, United States
  • Sectors
    Healthcare
  • Phone
    *********
  • Website
    *********
  • Social
    *********
  • Legal Name Carecore National, Llc
Operational Areas
Healthcare → Health Technology & Digital Health
Key Metrics
  • Annual Revenue
  • Net Profit
  • EBITDA
  • Latest Funding Round
  • Investors
  • Employee Count
    Employee Count
  • Investments & Acquisitions
  • Acquired by
    Express Scripts

    (Oct 10, 2017)

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Products & Services of eviCore

eviCore offers a comprehensive portfolio of products and services, including Prior Authorization Automation and EviCore intelliPath®. The company's diverse product and service offerings are designed to meet the evolving needs of its customers, address market demands, and provide comprehensive solutions that drive value creation and customer satisfaction across various segments and use cases.

Primary

Automates processes for checking authorization requests from providers.

Offers intelligent tools for medical treatment and site decisions.

People of eviCore
Headcount 1000-5000
Employee Profiles 23
Employee Profiles
People
Rodney Schmucker
Managing Director, eviCore Operations
People
David Smith
President, Medical Benefits Management
People
Eric J. Gratias
Dynamic Physician Executive
People
David Newlin
IT Director - Voice And Collaboration At Evicore

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Funding Insights of eviCore

  • Total Funding
  • Total Rounds 3
  • Last Round
  • First Round
  • Investors Count 3
Date Amount Transaction Name Valuation Lead Investors Investors
Jun, 2014 Amount Private Equity Round - eviCore Valuation

investors

Jun, 2014 Amount Private Equity Round - eviCore Valuation

investors

Jun, 2010 Amount Private Equity Round - eviCore Valuation

investors

TA
Date Amount Transaction Name Valuation Lead Investors Investors
Jul, 2021 Amount Post-IPO - Grab Valuation

investors

Feb, 2021 Amount Post-IPO - Grab Valuation

investors

Jan, 2021 Amount Post-IPO - Grab Valuation

investors

Feb, 2021 Amount Post-IPO - Grab Valuation

investors

Investors in eviCore

eviCore has secured backing from 4 investors, including venture fund and institutional investors. Prominent investors backing the company include Express Scripts, General Atlantic and Ridgemont Equity partners. This diverse investor base provides strategic capital, industry expertise, and valuable network connections that support the company's growth initiatives, market expansion, and long-term value creation.

All
Venture Fund
Institutional
Investor Description Founded Year Domain Location
Mid-market companies are invested in by this private equity firm.
Founded Year Domain Location
Private equity fund focused on global markets
Founded Year Domain Location
Multiple sectors are invested in by private equity firm TA.
Founded Year Domain Location
Investor Description Founded Year Domain Location
Single family office of Amitabh Bachchan, founder of Amitabh Bachchan Corporation or AB CORP
Founded Year Domain Location
Startup ecosystems are ignited through strategic investments by Signite Partners.
Founded Year Domain Location
Venture capital is directed toward companies in multiple sectors.
Founded Year Domain Location
Venture capital is invested in cybersecurity, fintech, and AI startups.
Founded Year Domain Location

Investments & Acquisitions by eviCore

eviCore has strategically engaged in corporate development activities, having acquired 2 companies. Notable acquisitions include Palladianhealth and QPID Health. These strategic investments and acquisitions demonstrate the company's commitment to growth through portfolio expansion, market consolidation, technology integration, and strategic partnerships that enhance competitive positioning and drive long-term value creation.

Investments
Company Name Description Domain Location Founded Year Amount
Bionic investment advisor platform
2016
Fine Asian gourmet food is offered by an internet-first restaurant.
2016
Physical e-commerce kiosks are deployed for rural purchases in Indonesia.
2014
Fine Asian gourmet food is offered by an internet-first restaurant.
2016
Acquisitions
Company Name Description Domain Location Founded Year Amount
Clinical insights platform for healthcare providers.
2012
-
1994
Company Name Description Domain Location Founded Year Amount
OVO is recognized as a smart digital payment application.
2017
Bionic investment advisor platform
2016
Physical e-commerce kiosks are deployed for rural purchases in Indonesia.
2014
Physical e-commerce kiosks are deployed for rural purchases in Indonesia.
2014

Financial Statements - eviCore

Tata Steel revenue growth over time
Tata Steel profit and loss trends over time
Date Amount Transaction Name Valuation Lead Investors Investors
Jul, 2021 Amount Post-IPO - Grab Valuation

investors

Feb, 2021 Amount Post-IPO - Grab Valuation

investors

Jan, 2021 Amount Post-IPO - Grab Valuation

investors

Feb, 2021 Amount Post-IPO - Grab Valuation

investors

Evicore Comparisons

Employees
+
Add Comparison
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Competitors of eviCore

eviCore operates in a dynamic and competitive business environment, facing competition from various established players and emerging companies in the market. The competitive landscape includes prominent companies such as Genomics, Assurecare, ZeOmega, Cricket Health and Patients Know Best, among others. This competitive environment drives innovation, market differentiation, and strategic positioning as companies strive to capture market share and deliver value to their customers. Understanding the competitive dynamics is crucial for assessing market positioning, identifying growth opportunities, and navigating the challenges inherent in a competitive marketplace.

Company Name Domain Founded year HQ Location Description
domain founded_year HQ Location
Genomic risk assessment and prevention platform is provided.
domain founded_year HQ Location
Digital population health management is provided for healthcare professionals.
domain founded_year HQ Location
Population health management software is provided to payers and providers.
domain founded_year HQ Location
High-risk patients are identified through advanced analytics for kidney care.
domain founded_year HQ Location
Personal health records software is provided for healthcare organizations.
Company Name Domain Founded year HQ Location Description
domain founded_year HQ Location
Multiple services are booked via an app-based platform.
domain founded_year HQ Location
On-demand services are booked through an app-based platform.
domain founded_year HQ Location
App based platform offering on demand delivery and ride-hailing services
domain founded_year HQ Location
Operates an on-demand hyperlocal delivery app for food and groceries.

Latest news on Evicore

Frequently Asked Questions about eviCore

When was eviCore founded?

eviCore was founded in 1992 and raised its 1st funding round 18 years after it was founded.

Where is eviCore located?

eviCore is headquartered in Bluffton, United States. It is registered at Bluffton, South Carolina, United States.

Who is the current CEO of eviCore?

John Joseph Arlotta is the current CEO of eviCore.

What does eviCore do?

eviCore healthcare offers diversified medical benefit management solutions to healthcare organizations. The company provides these solutions to managed care organizations and risk-bearing provider organizations serving commercial, Medicare and Medicaid populations. The company supports clients by ensuring the right evidence-based care is delivered at the right time to the right patient at the right site of care. Flexible medical benefit management solutions are offered in: Diagnostic Testing and Imaging; Cardiology; Comprehensive Musculoskeletal and Pain Management; Medical and Radiation Oncology; Sleep Services; Lab Management; and Post-Acute Care (including participating in the CMS Bundled Payments for Care Improvement Initiative). Claims to serve over 80 million Americans. Specialty Solutions cater to Radiology, Radiation Therapy, Post-Acute Care, Sleep, Cardiology, Lab Management, Musculoskeletal, Medical Oncology, Specialty Drug Management.

Who are the top competitors of eviCore?

eviCore's top competitors include HiLabs, Patients Know Best and Assurecare.

What products or services does eviCore offer?

eviCore offers Prior Authorization Automation and EviCore intelliPath®.

How many acquisitions has eviCore made?

eviCore has made 2 acquisitions, including Palladianhealth, and QPID Health.

Who are eviCore's investors?

eviCore has 4 investors. Key investors include Express Scripts, General Atlantic, Ridgemont Equity partners, and TA Associates.

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