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Preferred Radiology Program

 

 

 

 

 

 

 

 

The Preferred Radiology Program (PRP) was created to:

  • Support referring physicians in their decision-making process
  • Promote patient safety by eliminating unnecessary duplication of diagnostic services
  • Maximize customer benefits by providing the most current clinical and technical recommendations to radiology providers
  • Minimize patient out-of-pocket costs by directing patients to a diagnostic facility participating in the Blue Cross network

The following components are included in the program:

Additional Information:

Precertification Available Online:

  • Check eligibility and benefits electronically through your practice management system or ProviderAccess.
  • If precertification is required, information is displayed on the Additional Coverage tab.

Credentialing Tips:

  • To be credentialed for all lines of business, including Blue Advantage®, you must complete a Preferred Radiology Program New Physician Notification form. All required forms listed on the application must be completed and returned. We cannot accept a form with blank fields. Please put “N/A” if something does not apply.
  • Only physicians are eligible to participate in all lines of business. Other provider specialties can be Blue Advantage-only.
  • Please do not allow your certification to expire or lapse. A new effective date will be issued, which may cause a gap and affect Preferred Radiology Program payments.
  • You must provide updated certifications to us.
  • We do not update canceled provider numbers. It is your responsibility to make sure your assigned numbers stay active so that your status for the Preferred Radiology Program stays active.