Member Policies - Medical Policies - Florida
Blue Cross and Blue Shield of Florida partners with Carelon Medical Benefits Management to administer advanced imaging solutions for our customers.
Clicking one of the buttons below will take you to a website operated by Carelon Medical Benefits Management. Carelon is our business associate and is an independent company that provides diagnostic testing, information and services. Carelon has agreed to follow Blue Cross' privacy and security policies regarding the confidentiality and protection of personal health information.
Note: Coverage is subject to member's specific benefits. Group-specific policies will supersede these policies when applicable. Please refer to member's benefit plan.
Current Imaging Policies
To view medical policies for advanced imaging services, click "Accept" below the policy type you wish to view.
Previous Imaging Policies
For a copy of previous imaging policies, email MedicalBenefitsManagement.Guidelines@Carelon.com, indicating the specific dates and guidelines needed.
Precertification of Advanced Imaging Services
Some advanced imaging services require precertification. Click the link below to view a list of applicable CPT/HCPCS codes.
List of Advanced Imaging CPT Codes Requiring Precertification
Worksheets and Checklists to Obtain Precertification
To initiate precertification, go to your local Blue Plan's provider portal to initiate Pre-Service Review (Electronic Provider Access) for these services for out-of-area members. Contact your local Blue Plan for more information on how to access this functionality in your local provider portal. To initiate precertification via telephone, call 1-866-803-8002