High-tech Imaging Update for City of Chicago Members
October 28, 2011
Please note that ENCOMPASS Health Management Systems has changed its name to Telligen. As a reminder, the City of Chicago requires that all of its members, including non-Medicare Retirees, submit a request for determination of medical necessity through this vendor for approval of CAT, MRI and PET scans*. Telligen can be contacted at (800) 373-3727. Claims submitted for the services listed above without authorization through Telligen may be denied.
To identify City of Chicago members, look for the CTY alpha prefix on the member's ID card. Group numbers are P16602, P16605, P16606, P16610, P16628, P16632, P16642, P16643, P16705, P17600, P18600, P18601 and P20600. Always refer to the back of the member’s ID card to verify prior authorization requirements and appropriate contact information.
*Note: The City of Chicago is an exception. For most other BCBSIL members with PPO or BlueChoice Select coverage, obtaining a Radiology Quality Initiative (RQI) number through American Imaging Management® (AIM®) is required by BCBSIL prior to ordering outpatient, non-emergency high-tech imaging studies. For more information on AIM and the RQI process for high-tech imaging services, please visit the Claims and Eligibility/Prior Authorization section.
Telligen and AIM are independent third party vendors that are solely responsible for the products and services they offer. 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 they offer, you should contact the vendor(s) directly.