Blue Review
A newsletter for contracting institutional and professional providers

June 2020

High-Tech Imaging Providers: Action Needed

If you bill Blue Cross and Blue Shield of Illinois (BCBSIL) for the technical component of Computed Tomography (CT/CTA), Magnetic Resonance Imaging (MRI/MRA), Nuclear Cardiology and Positron Emission Tomography (PET) scans, please complete your OptiNet® assessment today.

The data from the OptiNet assessment is used to evaluate imaging provider capabilities to help promote patient safety, cost effectiveness and accessibility of care. If you don’t complete the OptiNet assessment, your facility won’t appear in the online directory ordering providers use during the Radiology Quality Initiative (RQI) process, which is required for most of our PPO members.* 

AIM Specialty Health® (AIM) administers BCBSIL’s RQI program. To make it easier for providers to register and complete the online assessment, AIM has upgraded the OptiNet enrollment and data entry process. The OptiNet assessment tool features streamlined navigation with links to helpful information, clear display of registration status and optimized format for the latest browsers.

Please note that you may update your information in OptiNet at any time, as needed. If you’ve already registered, you do not need to re-enter any information, unless there are changes that need to be reported.

Resources and Support

  • Visit the OptiNet Assessment Tool page on our website for more information and a direct link to the tool.
  • If you have questions about the assessment process, call AIM OptiNet Customer Service at 800-252-2021.
  • Your BCBSIL Provider Network Consultant (PNC) team is also available to help you with this and other BCBSIL programs and initiatives. To find your PNC, refer to the list of Provider Network Consultant Assignments.

*Certain employer groups may require preauthorization/pre-notification for imaging services from other vendors. If you have any questions, call the number on the member's ID card.

AIM Specialty Health (AIM) is an operating subsidiary of Anthem and an independent third party vendor that is solely responsible for its products and services. OptiNet is a registered trademark of AIM. BCBSIL makes no endorsement, representations or warranties regarding any products or services offered by independent third party vendors. If you have any questions about the products or services offered by such vendors, you should contact the vendors directly.

Please note that the fact that a guideline is available for any given treatment, or that a service has been preauthorized/pre-notified or an RQI number has been issued is not a guarantee of payment. Benefits will be determined once a claim is received and will be based upon, among other things, the member’s eligibility and the terms of the member’s certificate of coverage, including, but not limited to, exclusions and limitations applicable on the date services were rendered. Physicians and other health care providers are encouraged to use their own medical judgment based upon all available information and the condition of the patient in determining the appropriate course of treatment. Regardless of benefits, the final decision about any course of treatment is between the member and their health care provider.