Radiation Therapy Program

Horizon BCBSNJ, in collaboration with eviCore healthcare, has implemented a Pre-service Medical Necessity Determination (MND) program. This program is to help ensure that the radiation therapy services provided to our members are consistent with nationally recognized clinical standards. The Radiation Therapy program addresses a patient’s specific disease state, stage and treatment goals and offers clinicians the necessary flexibility to render appropriate quality care in a timely manner.

• Radiation Therapy Program Q&A
• Radiation Therapy Payment Rules
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