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Advanced Imaging and Cardiology Services Program

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. 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 2/24/2023 2:03:21 PM

 

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Highmark Blue Cross Blue Shield serves the 29 counties of western Pennsylvania and 13 counties of northeastern Pennsylvania. Highmark Blue Shield serves the 21 counties of central Pennsylvania and also provides services in conjunction with a separate health plan in southeastern Pennsylvania. Highmark Blue Cross Blue Shield West Virginia serves the state of West Virginia plus Washington County. Highmark Blue Cross Blue Shield Delaware serves the state of Delaware. Highmark Western and Northeastern New York Inc., serves eight counties in Western New York under the trade name Highmark Blue Cross Blue Shield of Western New York and serves 13 counties in Northeastern New York under the trade name Highmark Blue Shield of Northeastern New York. Each of these companies is an independent licensee of the Blue Cross Blue Shield Association. Blue Cross, Blue Shield and the Blue Cross and Blue Shield symbols are registered marks of the Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield companies. All references to “Highmark” in this document are references to the Highmark company that is providing the member’s health benefits or health benefit administration.