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Approval 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 Medicare Supplement, Medicare 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 prior authorization for the following outpatient procedures: CT Scan, MRI/MRA, Nuclear Cardiology and PET Scan.

Arkansas Blue Cross utilizes Carelon Medical Benefits Management - an independent company - to provide prior authorization of health plan coverage services.