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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:
- Precertification of Advanced Imaging Services
- Accreditation through American College of Radiology (ACR) and/or Intersocietal Accreditation Commission (IAC) and/or RadSite
Additional Information:
- CPT Codes Requiring Precertification
- Equipment standards for continued participation
- Frequently Asked Questions
- List of Physicians Interpreting Imaging Services at this specific location
- List of Referring Physicians with a Financial Interest at this specific location
- List of Non-Physicians with a Financial Interest at this specific location
- PRP New Physician Notification Form
- Preferred Radiology Service Agreement
- Preferred Radiology Credentialing Verification form along with all the requested attachments
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.
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