CommercialPrior AuthHigh impact
Register Now: Live Webinars Available for New Prior Authorization Requirements for Advanced Imaging (Cardiology and Radiology)
CareFirst BlueCross BlueShield·Cardiology, Radiology·Prior Authorization
Effective date
Jul 22, 2024
We identified it
Jun 20, 2026
Summary
Starting July 22, 2024, CareFirst fully insured commercial plan members will require prior authorization through EviCore for outpatient advanced imaging services in cardiology and radiology. Providers can begin submitting authorizations five days early starting July 15, 2024.
Action Required
By July 15, 2024: Billing team and providers must register for EviCore's Prior Authorization Portal (CareCo National Portal) and begin submitting prior authorizations for CareFirst commercial members needing outpatient advanced imaging in cardiology and radiology. Attend available webinars in July to learn the new process. Failure to obtain prior authorization will result in claim denials for services performed on or after July 22, 2024.