Horizon BCBSNJ’s network of participating radiologists and facilities provide high-quality, affordable care for members who need diagnostic testing.
Prior authorization requirements
Our partner, eviCore healthcare, manages radiology/cardiology imaging services for our members through prior authorization (PA) with doctors and other health care professionals. Advanced imaging services that usually require prior authorization are:
- CAT scan
- Computed Tomographic Angiography (CTA)
- Continuous CT Angiography (CCTA)
- Heart catheterizations
- Magnetic Resonance Angiogram (MRA)
- Magnetic Resonance Imaging (MRI)
- Nuclear medicine, including nuclear cardiology
- Positron Emission Tomography (PET scans)
Prior authorization requirements may vary based on the member’s benefit plan. Your doctor or other health care professional must obtain any necessary prior authorizations. Most authorizations are provided the same day. Prior authorizations are not required if Horizon BCBSNJ is the secondary payer.
Members should use a participating facility and provider to keep out-of-pocket costs low. Use our Doctor & Hospital Finder to find a participating provider near you.
Scheduling an appointment
Call eviCore healthcare at 1-866-969-1234 and a service representative can help you schedule an appointment with a participating doctor or other health care professional close to you.
eviCore Healthcare supports Horizon Blue Cross and Blue Shield of New Jersey in the administration of advance radiology benefits. eviCore Healthcare is independent from, and not affiliated with Horizon Blue Cross and Blue Shield of New Jersey or the Blue Cross Blue Shield Association.