Radiology Alliance Leaving BCBST Networks in 2021

BlueCross BlueShield of Tennessee (BCBST) announced that radiology provider Radiology Alliance is leaving BCBST provider networks effective April 1, 2021, if an agreement is not reached. Read on for what you need to know about the changes, the locations of providers affected, and next steps.

What’s Changing?

BlueCross BlueShield of Tennessee has been working to sign a new contract with Radiology Alliance, one of the state’s largest private radiology practice groups, which serves hospitals, outpatient facilities, and clinics in the Middle Tennessee area. The following Tennessee medical centers are locations where Radiology Alliance providers currently practice, which will change on April 1, 2021 if an agreement is not reached:

Location Name	City	In Network PSM?	In Network SSM?
TriStar Ashland City Medical Center	Ashland City	Yes	No
TriStar Imaging & Diagnostics at Brentwood	Brentwood	Yes	No
Tennova Healthcare-Clarksville	Clarksville	Yes	Yes
Natchez Imaging Center	Dickson	Yes	No
TriStar Horizon Medical Center	Dickson	Yes	No
TriStar Natchez ER	Dickson	Yes	No
Houston County Community Hospital	Erin	Yes	Yes
Cool Springs Interventional	Franklin	Yes	Yes
Franklin PET Scan Center	Franklin	Yes	Yes
Outpatient Imaging Center at Hendersonville	Hendersonville	Yes	No
TriStar Hendersonville Medical Center	Hendersonville	Yes	No
TriStar Women's Imaging Hendersonville	Hendersonville	Yes	No
Summit Imaging Center	Hermitage	Yes	No
TriStar Summit Medical Center	Hermitage	Yes	No

Summit Imaging Center at Lebanon	Lebanon	Yes	No
TriStar Mt. Juliet ER	Mt. Juliet	Yes	No
TriStar Summit Imaging at Mt. Juliet	Mt. Juliet	Yes	No
Centennial Imaging Center	Nashville	Yes	No
Heritage Medical Associates	Nashville	Yes	Yes
Imaging Alliance Nashville PET	Nashville	Yes	Yes
Outpatient Diagnostic Center of Nashville	Nashville	Yes	Yes
Specialty MRI	Nashville	Yes	Yes
Tennessee Oncology PET Services	Nashville	Yes	Yes
The Surgical Clinic	Nashville	Yes	Yes
TriStar Centennial Medical Center	Nashville	Yes	No
TriStar Skyline Medical Center	Nashville	Yes	No
TriStar Southern Hills Medical Center	Nashville	Yes	No
TriStar Women's & Children's Hospital at Centennial	Nashville	Yes	No
TriStar Women's Imaging Center	Nashville	Yes	No

Women’s Health & Imaging Center at TriStar Centennial Medical Center	Nashville	Yes	No
Decatur County General Hospital	Parsons	Yes	Yes
Portland Diagnostic Center/TriStar Portland ER	Portland	Yes	No
Hardin Medical Center	Savannah	Yes	Yes
Advanced Foot and Ankle Care Centers	Smyrna	Yes	Yes
TriStar StoneCrest Medical Center	Smyrna	Yes	No
TriStar ER at Spring Hill	Spring Hill	Yes	No
NorthCrest Medical Center	Springfield	Yes	Yes
Three Rivers Hospital	Waverly	Yes	Yes

What’s Next?

If individuals receive care from a Radiology Alliance provider at one of these facilities through March 31, BlueCross BlueShield will pay for their care at in-network rates, and they’ll get in-network benefits. However, on and after April 1:

In an emergency, they should go to the closest emergency room.
If they get non-emergency care from a Radiology Alliance provider at one of these facilities, they’ll have to pay more out of pocket. Depending on the services provided, this difference could be large. This is the case even if they or their doctor got prior authorization for their care.
Before scheduling services that require a radiologist, members should ask their doctor or hospital to confirm who will provide these services and make sure they’re in-network.

How Can Members Find a New Provider?

If a member’s provider is listed here and BCBST and Radiology Alliance do not reach an agreement by the established time, the member will need to find a new radiology provider. Members can visit BlueCross BlueShield of Tennessee’s website, login with their member credentials, and search for radiologists in their network and area.

If members have questions or need more information about this specific network change, you can contact your BlueCross BlueShield of Tennessee Sales or Account Executive. You can also find more information on this changing situation at bcbstfacts.com.