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

• Blue Care Network commercial members
• BCN Advantage^SM members

For information about high-tech radiology services for Blue Cross Blue Shield of Michigan commercial and Medicare Plus Blue^SM members, see the Blue Cross Radiology Services, High Tech 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 prior authorization requirements for cardiology services, high-tech radiology services and in-lab sleep studies
• Carelon's Clinical guidelines and pathways*
• Radiology procedures (high-tech imaging): For prior authorization determinations (PDF) — Includes information about 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.