What if an approval is required outside of BCBSNCs normal business hours, such as at night or on the weekends?
BCBSNC is working with a company called American Imaging Management (AIM) for the approval of high-tech scans. AIM has a Web site that lets doctors request approval for high-tech scans 24 hours per day, seven days a week. If your doctor does not have access to the Internet and the request is urgent, your doctor has two business days to file the paperwork to AIM in order for BCBSNC to approve the scan. If your doctor does not file the paperwork within two business days after an urgent request, BCBSNC may not pay for the scan. If your doctor is in the BCBSNC network, he or she is responsible for getting prior plan approval from BCBSNC on your behalf. If your doctor is out-of-network or located outside of North Carolina, you are responsible for the cost of the scan if the doctor does not obtain prior plan approval before the scan is done. Remember: You do not need prior plan approval for a high-tech scan if it is part of an emergency room visit or an inpatient hospital stay.
Related Questions
- If I perform my University activities outside of the normal business hours (i.e., nights/weekends/vacation), do I still have to account for that time as part of my total University compensated effort?
- What if an approval is required outside of BCBSNCs normal business hours, such as at night or on the weekends?
- Does TSI provide support for SECURITRE outside normal business hours?
