Login
Hassle-free Administration.


Login
Medical Policy, Clinical UM Guidelines, and Pre-Cert Requirements
View requirements for Local Plan and BlueCard Out-of-Area members.

Enter
Find a Doctor
Search our online provider directory when you need a doctor, hospital or other health care provider.
Enter

Empire's High -tech Radiology Imaging Services Program

PW_B152254
Beginning December 20, 2010, AIM will begin administering Empire's high-tech radiology imaging services program for dates of service on or after January 1, 2011. Precertification will be required for the same high-tech radiology imaging services rendered to members whose benefits currently require precertification. Those services are as follows:  
Magnetic Resonance (MRI/MRA)
Positron Emission Tomography (PET) Scans
Computed Tomography (CT/CTA)
Nuclear Cardiology
 
Also, starting October 25, 2010, Empire began collecting information about the imaging capabilities of all contracted providers who provide the technical component of high-tech radiology imaging services in AIM's online assessment tool, OptiNet. 
To assist you during this transition, the following documents are available for your reference. 
For physicians who will need to request high-tech radiology imaging services: 
CPT Code List
Radiology Management Frequently Asked Questions
Order Request Checklist
Program Quick Reference Guide
Clinical Worksheet for Myocardial Perfusion Imaging and Stress Echocardiography Pre-Exam Questions
 
For practitioners/facilities who will be performing high-tech radiology imaging services: 
OptiNet Assessment FAQs
OptiNet Registration Checklist
Understanding your OptiNet Scorecard
 
In addition to the transition, Empire will expand its diagnostic imaging management program on January 1, 2011, to include the following additional services:  
Stress Echocardiography (SE),
Resting Transthoracic Echocardiography (TTE),
Transesophageal Echocardiography (TEE).
 
Empire is asking ordering providers to contact AIM to provide voluntary pre-notification of echocardiography imaging services. 
©2013 Empire BlueCross BlueShield

Services provided by Empire HealthChoice HMO, Inc. and/or Empire HealthChoice Assurance, Inc., licensees of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans, serving residents and businesses in the 28 eastern and southeastern counties of New York State. All external sites will open in a new browser window. Please view our Website Privacy Policy for more information.