Carelon Medical Benefits Management manages prior authorizations for select cardiology services as follows.

For information about cardiology services for Blue Care Network commercial and BCN Advantage^SM members, see the BCN Cardiology Services page.

How to submit prior authorization requests

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

Submit requests before providing services.

Resources

• Procedures that require prior authorization by Carelon: Cardiology, radiation oncology, radiology (high technology) and sleep studies (in lab) (PDF)
• Frequently asked questions about Carelon: for cardiology, radiology (high technology) and sleep studies (in lab) (PDF) — Answers to questions about authorization requirements for cardiology services, high-tech radiology services and in-lab sleep studies
• Carelon's Clinical guidelines and pathways*
• Cardiology: For home monitoring and hypertension management and for procedures that require prior authorization (PDF) — Includes information about care management and utilization management programs

*Clicking this link means that you're leaving the Blue Cross Blue Shield of Michigan and Blue Care Network website. While we recommend this site, we're not responsible for its content.

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.