Reminder Effective August 2: New Prior Authorization Requirements for Advanced Imaging (Cardiology and Radiology)

Immediately: Billing team must update system to require prior authorization through EviCore for all advanced imaging services (cardiology and radiology) for CareFirst commercial fully insured members with dates of service August 2, 2024 and beyond. Providers must submit prior authorization requests before scheduling these services. Update encounter forms and scheduling workflows to include prior auth verification step. Claims will likely be denied without proper prior authorization.