It’s important to remember that benefits vary based on the service being rendered and individual and group policy elections. Always check eligibility and benefits first, through Availity® or your preferred web vendor. This step will help you confirm coverage and other important details, such as prior authorization requirements and vendors, if applicable.
Use the buttons below to access clinical guidelines for each solution.
Advanced Imaging/Cardiology |
Radiation Therapy |
Joint/Spine Surgery and Pain Management |
Rehabilitation Therapy |
Sleep Medicine |
Genetic Testing |
Laboratory Services |
Medical Oncology |
Frequently asked questions
CPT code lists
To access the current CPT code lists please visit the provider website for the member’s plan.
Commercial Plans
- BCBSIL CPT code list
- BCBSMT CPT code list
- BCBSNM CPT code list
- BCBSOK CPT Code list
- BCBSTX CPT code list
Government Plans
Order request checklists
View/print order request checklists that summarize clinical information needed to request prior authorization
Advanced Imaging/Cardiology:
Radiation Therapy:
Medical Oncology:
Joint/Spine Surgery and Pain Management:
Rehabilitation Therapy:
Sleep Medicine:
Carelon Medical Benefits Management provider portalSM
Submit prior authorization and post service medical necessity review requests to AIM online:
- Access Carelon provider portal directly at www.providerportal.com
- Online access is available 24/7 to process orders in real time and is the fastest and most convenient way to request prior authorization.
- If you need technical support with provider portal or registration for the provider portal training sessions, please contact 1-800-252-2021, option 2,
7 AM – 6 PM CT weekdays
(6 AM – 5 PM MT)
Carelon is an independent company that has contracted with Blue Cross and Blue Shield Plans of Illinois, Montana, New Mexico, Oklahoma, and Texas, to provide named service for members with coverage through plans in BCBSIL, BCBSMT, BCBSNM, BCBSOK, BCBSTX.
BCBSIL, BCBSMT, BCBSNM, BCBSOK, and BCBSTX make no endorsement, representations or warranties regarding third-party vendors and the products and services offered by them.