National Imaging Associates to Manage Diagnostic Imaging Services for Blue Cross Complete
Blue Cross Complete (BCC) of Michigan has entered into an agreement with National Imaging Associates, Inc., a subsidiary of Magellan Health, to manage diagnostic imaging services such as MRI/CT/PET scans. Effective April 1, 2022, Blue Cross Complete will require prior authorization from NIA for the following non-emergent outpatient diagnostic imaging services:
- PET scan
- Myocardial Perfusion Imaging
- MUGA scan
The provider ordering diagnostic imaging services is responsible for obtaining prior authorization. The rendering facility must ensure that prior authorization was obtained. Blue Cross Complete encourages providers to develop a process to ensure appropriate authorization was obtained. Payment to the ordering physician and rendering facility will be denied for procedures performed without appropriate authorization.
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