Radiology Services, High Tech

Resources

Carelon Medical Benefits Management manages prior authorizations for high-tech radiology services for:

Blue Cross Blue Shield of Michigan commercial:

Fully insured groups and individual members
Self-funded groups — Includes UAW Retiree Medical Benefits Trust non-Medicare members

Medicare Plus Blue^℠ members
Blue Care Network commercial members
BCN Advantage^℠ members

Note for Blue Cross Commercial:

See the Carelon exclusion list for Blue Cross Blue Shield of Michigan commercial to learn about the health plan, groups, and settings and scenarios for which prior authorization isn't required.
The requirements outlined above don’t apply to the UAW Retiree Health Care Trust (group number 70605) or the UAW International Union (group number 71714).

How to submit prior authorization requests

To learn how to submit requests, see our Getting Started page.

Submit requests before providing services.

Utilization Management Criteria

Visit our Utilization Management Criteria page.

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.