Providers

Authorization Information for Radiological Services

An outpatient diagnostic imaging program is active (since September 1, 2006) for individual and group members of Arkansas Blue Cross and Blue Shield health plans, except for members of Medi-Pak, Medi-Pak Advantage, Access Only, AR Health (where Medicare is primary), BlueCard (check with home plan if not Arkansas) and the Federal Employee Program (FEP).

Physicians are required to secure authorization for the following outpatient procedures: CT Scan, MRI/MRA, Nuclear Cardiology and PET Scan.

Arkansas Blue Cross utilizes National Imaging Associates (NIA) — an independent company — to provide prior authorization services. For more detailed information, please see the Radiology Management Guide or Reminders.

Radiology Management Reference Guide (PDF) — Detailed information regarding the new prior authorization program for outpatient diagnostic imaging services.

Radiology Management Reminders (PDF) — Follow these tips to expedite the prior authorization process.