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One-to-One for Healthcare - Summer Edition
Blue Cross of Idaho·ID · Radiology, Cardiology, Diagnostic Imaging +1 more·Medical Policy
Effective date
Aug 1, 2021
We identified it
Jun 19, 2026
Summary
Blue Cross of Idaho published their summer newsletter detailing BlueCard claim processing, new Highmark prior authorization requirements for advanced imaging and cardiology services starting August 1, 2021, and various informational updates including cultural competency training and Part D medication authorization guidelines.
Action Required
By August 1, 2021: For Highmark members, obtain prior authorization through eviCore for all elective outpatient MRI, MRA, PET, PET-CT, CT, CTA, nuclear medicine, cardiac CT, cardiac MRI, diagnostic heart catheterization, myocardial perfusion imaging, nuclear cardiac imaging, stress echocardiogram, stress testing, transesophageal echocardiogram, and transthoracic echocardiogram services. Complete mandatory cultural competency training on provider portal. Update workflows to verify Part D formulary requirements and prior authorization needs using member ID card and formulary lookup.