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.
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||
|TriStar Imaging & Diagnostics at Brentwood||Brentwood||Yes||No|
|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|
|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|
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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