Imaging Shopper Program Expanded to Upstate Counties

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In July 23, 2012, Empire BlueCross BlueShield launched a new service that informs members about the costs and quality of high tech imaging services in many New York counties. This initiative involves proactive outreach to Empire members who reside in the counties noted below, to provide information about imaging costs and quality to help the members select an imaging provider.  
While most members go to an imaging location recommended by their physician, they may not realize that their share of the expense will vary, depending on where they receive the imaging service(s). In addition, according to feedback from our members, most are open to receiving quality and cost information if it can help them lower their cost share. As a result, when Empire receives preauthorization requests for certain MRI, MRA, CT and/or CTA services, members will be called and given information to help them understand their choices.  
During this outreach, members will have an opportunity to reduce their health care expenses by selecting lower-cost providers or locations that report equal or better quality. Members may still choose any participating imaging provider, and will not be denied access to services if they do not choose the lower-cost option. Our goal is simply to give members information to make informed choices about their health care.  
In order to be sure that members have the most up-to-date information, we encourage servicing providers to keep their quality survey information updated in OptiNetĀ®. Be sure to hit submit each time you make an update or the survey will show as incomplete.  
Our member outreach will exclude the following: 
Pediatric Cases
Members who don’t reside in the New York counties listed below
Oncology cases.
 
New York counties included in the Radiology Imaging Shopper Program:  
Bronx
Kings
Queens
Manhattan
Nassau
Suffolk
Westchester
Dutchess
 
Effective January 28, 2013, the following upstate counties listied below will be included in this program.  

Albany 
Orange 
Broome 
Osego 
Chenango 
Putnam 
Clinton 
Rensseleer 
Columbia 
Richmond 
Delaware 
Rockland 
Essex 
Saratoga 
Franklin 
Schenectady 
Fulton 
Scholane 
Greene 
Sullivan 
Hamilton 
Ulster 
Herkiner 
Warren 
Jefferson 
Washington 
If you have any questions or require additional information please contact your Network Management Consultant immediately by calling 1-800-992-BLUE (2583) and selecting the following prompts.
Option 1: Medical Providers 
Option 4: Updates and Other Information  
Option1: Participation and Credentialing Information  
Enter your zip code 

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