Lehigh Valley Diagnostic Imaging

BC/BS ILLINOIS Provider ID: BC/BS ILLINOIS Auth is not required for CT'S, CTA'S or PET scans

BC/BS RHODE ISLAND Provider ID: BC/BS RHODE ISLAND Precerts go through Med Solutions by calling 1-888-693-3211. Auth's ARE NOT contrast related.
	No	Yes
BCBS Florida- Capital Blue Cross Offices are to call 1-888-376-6544 for precerts. The prefix for this insurance will be HHM.
HHM	No	YES
BRAVO HEALTH Provider ID: BRAVO HEALTH Medicare Supplement plan but it is an HMO with no out of network benefits LVDI is not in network and members can not come here for services Patients must utilize facilities in the area they live (ex:Pottstown, Willowgrove)

BUILDERS BENEFITS (VALLEY PREFERRED) This is thru Health America Needs AUTHORIZATION for Ct's Cta's and Pet scans

Beech Street Corporation (see Raytel Imaging) If a patient has insurance through Beechstreet their study should be scheduled through One Source Medical. Raytel Imaging was bought out by ONE SOURCE MEDICAL. Call 1-800-453-0574 and hit "0" for scheduling to get confirmation number. See Melissa Good when offices request this insurance!
	Need Confirmation #	Need Confirmation #
Berkshire LVDI does not participate and cannot accept this plan at this time. Ok to accept only if card states Valley Preferred or MultiPlan somewhere on card.
Berkshire	Cannot Accept-Non Par	Cannot Accept-Non Par
Blair Mill (ICHP)-via Valley Preferred "Valley Preferred" must be on the card in order for LVDI to be in par If we are in par; office must call number on back of card for precertification for CTs.

Blue Card PPO Blue Card PPO allows a member to use any BCBS network in the country, so LVDI is in par Secondary to Medicare nothing needed. For precertification requirements call number on back of card. Offices with have to have our company information entered manually, and auth will pend for facility check.
	No	Plan Related-Call
Blue Choice (BCBS) Check back of card for website need more details on what kind of insurance Secondary to Medicare or Medicare Replacement nothing needed.
	Plan Related-Call	Plan Related-Call
Blue Cross Blue Shield (BCBS) Can be out of state card Check back of card for website; the abbreviation for the state will be within the website and this is how to determine if it is out of state. If this is the case; call number on card to determine if precert is needed for CTs. No authorization is needed secondary to Medicare Use BCBS button for entire listing of BCBS plans. The following number can be called for any insurance card that has the word "blue" on it. This number will direct to the correct state if office cannot confirm website. BLUE CARD number: 1-800-676-2583 - Press option 5 and speak the 3 letter prefix of the card.
OUT OF STATES	No	Plan Related-Call
BC/BS of Tennessee	Plan related	Plan Related
Blue Cross Blue Shield of Tennessee This out-of-state insurance is still plan related. To verify if precert is required contact MEDSolutions 1-888-693-3211 or precert online www.medsolutionsonline.com (no date of service is required).
BlueCross BlueShield Tennessee	Plan related	Plan Related
BlueCross BlueShield Access Care (BCBS) Check front and back of card for website information
	No	Plan Related-Call
BlueCross of Northeastern PA www.bcnepa.com (BCBS) www.bcnepa.com NOT Capital Blue Cross or Highmark Blue Shield Do NOT ask for prefixes Ask office to check back of card for website If website is bcnepa.com: Precert is needed as of Nov 1, 2011 Note: If scheduling any other study except a CT; no need to be specific as no referrals are required with any study. Secondary to Medicare or Medicare Replacement nothing needed. If patient has a Blue Card plan, offices with have to have our company information entered manually, and auth will pend for facility check.
BlueCare Security - Medicare Supplement	No	No
BlueCare Senior - Medicare Supplement	No	No
Security 65	No	No
First Priority Life	No	Yes
First Priority Health	No	Yes
BlueCare Traditional	No	Yes
BlueCare PPO	No	Yes
BlueCare Comprehensive	No	Yes
Afforda Blue	No	Yes
Blue Care QHD EPO	No	Yes
BlueCross/Blue Shield of South Carolina Offices should call NIA for authorizations at 1-866-500-7664
	No	Yes

It is NOT necessary to have a DATE OF SERVICE to obtain a precertification through ALL imaging companies. Offices must use 1230 S. Cedar Crest Blvd as our address when precertifying. At this time offices should be using our NPI number 1912956954 when certing as well. Most Medicare REPLACEMENT plans require precertification. These plans replace Medicare. When a patient states they have Medicare, ask if they have a secondary insurance plan. Some plans may require a pre-cert. Check the grid. LVDI is in network for ALL plans through Valley Preferred. Please check grid or the card for a Valley Preferred symbol. EVLT-ENDOVENOUS LASER TREATMENT IS PREFORMED ON A CASE TO CASE BASIS AND HAS A DEDICATED SCHEDULER PLEASE CALL 610-435-1599 CT VIRTUAL COLONOSCOPIES (scheduled or same day) ARE COVERED UNDER ALL INSURANCES BASED ON MEDICAL NECESSITY Please see changes for CT abdomen and pelvis CPT codes. As of January 1st they will become a combined study. ABD and PEL WITHOUT CONSTRAST changed to 74176 ABD and PEL WITH CONTRAST changed to 74177 ABd and Pel WITH AND WITHOUT changed to 74178
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z BCBS Valley Preferred ALL NIA Guidelines AIM Steps \| CT Contrast Guide \| CPT CODES \| Print Version
Insurance Company Tax ID # 232536125 NPI # 1912956954	Referral	Precert

BC/BS ILLINOIS

BC/BS RHODE ISLAND

BCBS Florida- Capital Blue Cross

BRAVO HEALTH

BUILDERS BENEFITS (VALLEY PREFERRED)

Beech Street Corporation (see Raytel Imaging)

Berkshire

Blair Mill (ICHP)-via Valley Preferred

Blue Card PPO

Blue Choice (BCBS)

Blue Cross Blue Shield (BCBS)

Blue Cross Blue Shield of Tennessee

BlueCross BlueShield Access Care (BCBS)

BlueCross of Northeastern PA www.bcnepa.com (BCBS)

BlueCross/Blue Shield of South Carolina