Advanced Imaging and Cardiology Services Program

Effective January 1, 2024, Highmark Blue Cross Blue Shield (WNY) began the utilization management of advanced imaging and cardiology services.

Prior authorization requirements for advanced imaging and cardiology services are applicable to all Highmark Blue Cross Blue Shield (WNY) plans, including:

  • Commercial
  • Medicare Advantage (MA)
  • Affordable Care Act (ACA)
  • Federal Employee Program (FEP)
  • Administrative Services Only (ASO)

These prior authorization requirements are subject to the member’s benefit plan.

The medical policies listed here were established and became effective January 1, 2024

Last updated on 4/24/2024 3:49:09 PM


To Top