Advanced Imaging Policies
Patrius Health partners with Carelon Medical Benefits Management, an independent company, to administer advanced imaging solutions for our customers.
To view medical policies for advanced imaging services, click "Accept" below the policy type you wish to view.
Clicking "Accept" below will take you to a website operated by Carelon Medical Benefits Management. Carelon is our business associate and is an independent company that provides diagnostic testing, information and services. Carelon has agreed to follow Patrius Health privacy and security policies regarding the confidentiality and protection of your personal health information.
Current Imaging Policies
Cardiology
Radiology
Draft Imaging Policies
There are currently no policies in draft status.
Comment on Draft Imaging Policies
To ensure that the development of medical policies occurs through an open, collaborative process, we welcome comments about medical policies that are in the draft stage.
Providers are invited to submit scientific, evidence-based information, professional consensus opinions and other information supported by medical literature relevant to draft policies for consideration. Comments are accepted for 45 days from the posting date listed on the draft policy.
How to Submit Comments
Make sure your voice is heard by providing feedback directly to us:
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Complete our online medical policy feedback form, or
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Send comments by mail or fax to:
Medical Director's Office
Patrius Health
Attn: Health Management - Medical Policy
P.O. Box 12364
Birmingham, AL 35202-2364
Fax: 205-220-0878
Previous Imaging Policies
For a copy of previous imaging policies, email MedicalBenefitsManagement.Guidelines@Carelon.com, indicating the specific dates and guidelines needed.
Precertification of Advanced Imaging Services
Some advanced imaging services require precertification. Click the link below to view a list of applicable CPT/HCPCS codes.