Note, Approve upon request, these procedures are part of another diagnostic or therapeutic procedure which may have been subject to prior authorization, and as such do not require a second review.
Care to Care and Premier (together, “CtC”) maintain proprietary Clinical Review Criteria (the “Criteria”) to ensure radiology related utilization management decisions are objective and based on current scientific evidence and expert opinion.
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The following access to the Criteria is only being provided for informational purposes.