Imaging Management Program for Boeing Employees
Effective, January 1, 2011, Blue Cross and Blue Shield of Illinois (BCBSIL) began administering The Boeing Company (Boeing) account. On the same effective date-January 1, 2011-Boeing, in partnership with American Imaging Management (AIM), implemented a Radiology Quality Initiative (RQI) for Boeing members. Although BCBSIL utilizes the same radiology vendor as Blue Cross and Blue Shield of North Carolina (BCBSNC), it is important to remember, services for BlueCard members from non-North Carolina, Blue Cross (BC) and/or Blue Shield (BS) plans are not included in the BCBSNC's radiology management program administered through (AIM). All radiology services must be arranged following the other Plans process and in this case, BCBSIL's process.
The RQI, for Boeing members, is a prospective clinical review program and promotes the following for elective, outpatient, high-tech imaging services:
- Ordering the most appropriate outpatient diagnostic imaging for the diagnosis in question, while minimizing unnecessary radiation exposure
- Performing studies in the proper sequence
- Maximizing service to members through efficient use of their benefit plan
The RQI process is based on guidelines from medical organizations and medical literature. The guidelines are consistent with the clinical appropriateness criteria developed by the American College of Radiology (ACR). The diagnostic imaging studies covered under this program include the following:
- Computed Tomography (CT/CTA)
- Magnetic Resonance Imaging (MRI/MRA)
- Nuclear Cardiology
- Positron Emission Tomography (PET)
Note: Imaging studies performed in conjunction with emergency room services, inpatient hospitalization, outpatient surgery (hospitals and free-standing surgery centers), urgent care centers, or twenty three (23) hour observations are excluded from this requirement.
Members participating in the RQI program can be identified by their unique alpha prefixes appearing on their member identification (ID) cards. The unique alpha prefixes are "BHP", "BYR", "BEM", "BCU". Physicians wanting to order diagnostic imaging services for Boeing members should obtain an order number from AIM by calling 1-866-455-8415 or using the ProviderPortal at www.americanimaging.net/goweb. Physicians will need to give AIM the member's ID number and alpha prefix from the BCBSIL ID card.
Boeing's implementation of the RQI program serves as an opportunity for BCBSNC to remind our network of providers of the importance to always verify a member's eligibility and prior authorization requirements.
If you have any questions, please contact the number on the back of the member's ID card or contact your BCBSNC Network Management representative.