Radiology/Imaging Services Program Update: March 2021
Effective March 25, 2021, Horizon BCBSNJ will implement changes to the services included as part of our Radiology/Imaging Services Program, administered by eviCore healthcare (eviCore).
eviCore will conduct Prior Authorization/Medical Necessity Determination (PA/MND) reviews of the computed tomography services represented by the recently approved procedure codes below when rendered on or after March 25, 2021.
Review the complete list of services that require PA/MND review as part of these programs.
For more information about this and other eviCore programs, visit HorizonBlue.com/evicore. If you have questions, please contact your Network Specialist or Ancillary Contracting Specialist.
CPT® is a registered trademark of the American Medical Association.
To submit a PA/MND request to eviCore (or to validate that a PA/MND was requested and/or approved), please visit eviCore.com or call 1-866-496-6200, weekdays, between 7 a.m. and 7 p.m., Eastern Time.
Review the guidelines eviCore uses to conduct PA/MND reviews as part of this program.
eviCore healthcare is an independent company that supports Horizon Blue Cross Blue Shield of New Jersey in the provision of Prior Authorization and/or Medical Necessity Review (PA/MND) of certain nonemergency radiology services.