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Diagnostic Procedures

Provider Type

  • Physicians
  • Participating Physician Groups (PPG)
  • Ancillary

Health Net has an agreement with Evolent Specialty Services, Inc. to provide utilization management (UM) services, including prior authorization determinations for certain advanced and cardiac imaging for fee-for-service (FFS) members.

Evolent Specialty Services Agreement

Evolent Specialty Services Agreement provides UM determinations for the following outpatient imaging procedures:

  • Advanced imaging:
    • Computed tomography (CT)/computed tomography angiography (CTA)
    • Magnetic resonance imaging (MRI)/magnetic resonance angiography (MRA)
    • Positron emission tomography (PET) scan
  • Cardiac imaging:
    • Coronary computed tomography angiography (CCTA)
    • Myocardial perfusion imaging (MPI)
    • Multigated acquisition (Muga) scan
    • Stress echocardiography
    • Transthoracic echocardiography (TTE)
    • Transesophageal echocardiography (TEE)

Exceptions

Health Net retains responsibility for UM determinations for these services.

  • Emergency room radiology services
Last Updated: 12/19/2024