Resources

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)

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.