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Medical Policy, Clinical UM Guidelines, and Pre-Cert Requirements

View requirements for Local Plan and BlueCard Out-of-Area members.

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Transparency Statement

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Radiant Services, LLC may perform select utilization management approval services on behalf of selected health benefit plans.  
The use of Radiant services does not change your current utilization services process.  
Radiant Services, LLC has some staff located outside the United States.  
From time to time, as permitted by contractual or regulatory obligations, we contract with an outside entity to provide our members or providers with various services such as Utilization Management or Case Management, on our behalf.  
We have a common goal of helping to ensure that your patients receive access to quality, evidence-based, efficient care. If you have questions about this change, please contact your local Provider Call Center. 

© 2014 BlueCross BlueShield of Georgia
Blue Cross and Blue Shield of Georgia, Inc. and Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. are independent licensees of the Blue Cross and Blue Shield Association. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association.