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Blue Cross and Blue Shield of Alabama's Preferred Radiology Program (PRP) supports referring physicians in their decision-making process, promotes patient safety by avoiding duplication of diagnostic services, maximizes customer benefits by providing the most current clinical and technical recommendations to radiology providers, and minimizes patient out of pocket costs by directing patients to a diagnostic facility participating in the Blue Cross and Blue Shield of Alabama network.
The program began April 1, 2006 and includes the following components:
To determine if a precertification is required for a member, check eligibility and benefits information electronically through your practice management vendor’s software or ProviderAccess via the Blue Cross and Blue Shield of Alabama web address, www.bcbsal.com. PRP information will be returned only if precertification is required. Positron Emission Tomography (PET) scan, Computerized Axial Tomography (CT) scan and Magnetic Resonance Imaging (MRI) precertification status (approved, not approved, under review) can be verified via eligibility and benefits through ProviderAccess on the Blue Cross and Blue Shield of Alabama website. The precertification look-up is available to the referring physician as well as the rendering diagnostic imaging provider.
For questions regarding the Radiology Management Program or your obligations related to the precertification process please contact your Provider Network Services Representative.