Oakland Southfield Physicians

OSP News

National Imaging Associates to Manage Diagnostic Imaging Services for Blue Cross Complete

Posted: 12/17/2021

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:

  • CT/CTA
  • CCTA
  • MRI/MRA
  • 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.

Click here to view the full announcement.

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