Cardiology Services: Resources
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Shared resources
- Procedure codes for which providers must request prior authorization
— See this document to determine which procedure codes require prior authorization - Cardiology: For biometric home monitoring and hypertension management and for procedures and services that require prior authorization — Includes information about care management and utilization management programs
Resources for services managed by Carelon
- Frequently asked questions about Carelon: For cardiology, radiology (high technology) and sleep studies (in lab) — Answers questions about authorization requirements for cardiology services, high-tech radiology services and in-lab sleep studies
BCN resources
- Michigan providers: BCN global referral, plan notification and prior authorization requirements
- Utilization Management chapter of the BCN Provider Manual
- BCN Advantage chapter of the BCN Provider Manual
Carelon Medical Benefits Management is an independent company that contracts with Blue Cross Blue Shield of Michigan and Blue Care Network to manage prior authorizations for select services.
Frequently accessed documents
Additional resources
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