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For all other Health Advantage health plans, some benefits provided by your Health Advantage health plan may require approval in advance of receiving medical services. Contact customer service if you have questions about prior authorization.
The following services always require prior authorization:
High-tech imaging (scanning) procedures are one of the most rapidly rising medical expenses. The following high-tech scans are not only causing premiums to increase; most are exposing patients to higher doses of radiation. Health Advantage requires physicians to obtain a prior approval when ordering the following outpatient high-tech imaging procedures for their patients:
Note: Physicians are not required to obtain an authorization when these services are performed in an emergency room, observation bed stay or for patients who are hospitalized.
Health Advantage has implemented a program that requires physicians to obtain an authorization when ordering outpatient high-tech imaging procedures for their patients. Physicians are not required to obtain an authorization when these services are performed in an emergency room, observation bed stay or for patients who are hospitalized.
The approval process generally is fast and efficient but, as with any new program, there have been minor glitches. Health Advantage is working to simplify the process for physicians.
Contact the ArkansasBlue welcome center in your area.