Outpatient Advanced Diagnostic Imaging Services for Health Management Associates Members Require Authorization*

January 31, 2012

Effective February 1, 2012, outpatient advanced diagnostic imaging services for Health Management Associates (HMA) members enrolled in Blue Cross and Blue Shield of Florida, Inc. (BCBSF) PPO products will require precertification. These services include MRIs, MRAs, CT Scans and PET Scans.

Obtaining Precertification

All BCBSF Health Management PPO members receiving outpatient advanced diagnostic imaging services must request precertification by calling (888) 376-6544. If precertification is not obtained, the claim will deny.

Identifying Health Management Group Members

Health Management group members are easy to identify.  Look for an HHM alpha prefix in front of the member identification (ID) number.

*Plan administered outside of Oklahoma