Information on this Provider Resource Center site is for members who have moved onto Highmark's systems.
For information related to members who have not moved onto Highmark's systems, please visit bsneny.com/provider.

Advanced Imaging and Cardiology Services Program

This program will be available starting December 1, 2021 for a single self-funded group and starting January 1, 2022 for additional Highmark Blue Shield of Northeastern New York members who have moved onto Highmark's systems (subject to New York State Department of Health approval).


About the Advanced Imaging and Cardiology Services Program:

Highmark Blue Shield of Northeastern New York has partnered with eviCore healthcare (eviCore) for the Advanced Imaging and Cardiology Services Program (pending New York State Department of Health approval). This program incorporates a comprehensive, evidence-based clinical review including predictive intelligence, clinical decision support, and peer-to-peer discussions. 

eviCore will manage the prior authorizations for advanced imaging and cardiology services for Highmark Blue Shield of Northeastern New York members who have moved onto Highmark's systems.

Resources:

Learn More:

eviCore has a dedicated webpage for Highmark Blue Shield of Northeastern New York providers to conveniently access evidence-based clinical guidelines, the current CPT code list, important resources, frequently asked questions, and recent announcements. We encourage you to visit their site to ensure that you have the most current information. 

In addition to this site and the eviCore webpage, you can also find any updates about the Advanced Imaging and Cardiology Services Program on the Plan Central page of NaviNet and future issues of Provider News. 

Last updated on 12/1/2021 10:19:41 AM

 

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