On January 1, 2010, BlueCross BlueShield of South Carolina began requiring precertification for certain advanced imaging services for its commercial business, State Health Plan and Publix members. You can find an overview of the National Imaging Associates (NIA) program and instructions on the Radiology Precertification page. On behalf of BlueCross, NIA handles precertification for certain imaging services. NIA is an independent company. The page also includes a list of codes that require authorization.
Here are some advanced radiology services that do not require radiology precertification. If you perform one of the procedures in this table you don’t need to contact NIA or BlueCross BlueShield of South Carolina to get precertification.
For more information, contact your Provider Education representative at 803-264-4730 or by e-mail at Provider.Education@bcbssc.com.