Lehigh Valley Diagnostic Imaging

EVERCARE Provider ID: EVERCARE This is a medicare replacement plan thru United HC Providers must call 888-866-8298 to see if authorization is required for CT'S , CTA'S and PETS

Empire BlueCross BlueShield www.empireblue.com (BCBS) Check ID card for website www.empire.com Call number on back of card for pre-cert information as these all vary and are plan related. Secondary to Medicare or Medicare Replacement nothing needed.
	No	Plan Related-Call
Empire Plan thru United Healthcare This is a blue card and usually has an outline of the state of New York on it. Office need to call 1-888-333-9067 to check for authorization. Give office CPT code, auth is code specific.
Empire Plan	No	Plan Related
Excellus BlueCross BlueShield www.excellusbcbs.com (BCBS) Precertification is required for some CT scans for certain plan members. For precertification call Excellus at 888.576.7783 Contact the local BCBS plan on patient's ID card. Secondary to Medicare or Medicare Replacement nothing needed.
	No	Plan Related

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

EVERCARE