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Changes to Radiology Providers for BCBST 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.


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