Cardiology Services Resources
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- Blue Cross commercial
- Medicare Plus Blue
- BCN commercial
- BCN Advantage
Shared Resources
Resources for services managed by Carelon
- Frequently asked questions about Carelon: for cardiology, radiology (high technology) and sleep studies (in lab)
— Answers to questions about authorization requirements for cardiology services, high-tech radiology services and in-lab sleep studies
Additional Resources
- 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
- Procedure codes for which providers must request prior authorization
— See this document to determine which procedure codes require prior authorization
BCN Resources
- BCN Advantage
chapter of the BCN Provider Manual
- BCN referral and authorization requirements for Michigan providers
- Utilization Management
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.