Important News

Back to Index

Reminder: Diagnostic imaging management program expanded to Blue Medicare HMOSM and Blue Medicare PPOSM products

Blue Cross and Blue Shield of North Carolina (BCBSNC) has expanded its diagnostic imaging management (DIM) program for non-emergency outpatient, high-tech diagnostic imaging services to include members covered under its Medicare Advantage products.

Beginning with dates of service on and after September 1, 2010, members covered under the Blue Medicare HMOSM and Blue Medicare PPOSM plans from BCBSNC are included in the diagnostic imaging management (DIM) program. Participating providers arranging and providing outpatient diagnostic imaging services for these members are required to comply with the programs prior approval requirements for the services listed below when performed in a physician's office, outpatient department of a hospital or freestanding imaging center:

  • CT/CTA scans
  • MRI/MRA scans
  • Nuclear cardiology studies
  • PET scans

Prior approval can be obtained and/or confirmed by logging into Blue eSM, at https://blue-edi.bcbsnc.com, to access the Web-based application ProviderPortalSM of American Imaging Management® (AIM). You may also request DIM prior approval by calling AIM toll free at 1-866-455-8414.

Your BCBSNC online Provider Manual for Blue Medicare plans has been updated to include information about the DIM program. Details are now available at bcbsnc.com via the Blue Medicare HMOSM and Blue Medicare PPOSM pages located at http://www .bcbsnc.com/providers/blue-medica re-providers/index.cfm or http://www.bcbsnc.com/content/providers/dim-training.htm.

If you have any additional questions, please feel free to contact your regional Network Management Representative at one of the following numbers:

Office Telephone number Office Telephone number
  • Charlotte
  • (800) 754-8185
  • Hickory
  • (877) 889-0002
  • Greensboro
  • (888) 298-7567
  • Raleigh
  • (800) 777-1643
  • Greenville
  • (888) 291-1780
  • Wilmington
  • (877) 889-0001