‘A trust-but-verify approach’: Independence Blue Cross leader details prior authorization pilot

Independence Blue Cross and Philadelphia-based Penn Medicine are piloting a program that allows qualifying physicians to skip prior authorization approvals needed for ultrasounds, CT scans and PET scans.

To qualify, physicians must have a consistent record of ordering medically necessary radiology tests such as CT scans and MRIs in a way that is consistent with accepted guidelines.

Source: https://www.beckerspayer.com/payer/a-trust-but-verify-approach-independence-blue-cross-leader-details-prior-authorization-pilot.html