BlueCross BlueShield of South Carolina
Welcome to the BlueCross BlueShield of South Carolina page. The documents below have been designed to help RadMD users navigate the prior authorization process for each program Evolent (formerly National Imaging Associates, Inc.) is responsible for. Additional process-specific training tools and modules can be found via links on the Resources tab at the top of the screen.
If you have any questions about our programs, please contact your dedicated Evolent Provider Relations Manager, Priscilla Singleton.
Advanced Imaging Program
- Frequently Asked Questions
- Peer-to-Peer Process
- Provider Education Presentation
- Quick Reference Guide
- Utilization Review Matrix
- Utilization Review Matrix - University of Vermont Members Only
For access to our Advanced Imaging tip sheets/checklists, click here.
Musculoskeletal and Interventional Pain Management Programs
- Frequently Asked Questions
- Provider Education Presentation
- Quick Reference Guide
- Utilization Review Matrix (IPM)
- Utilization Review Matrix (MSK - Hip, Knee and Shoulder) for Publix Members
- Utilization Review Matrix (MSK - Spine Surgery)
For access to our Musculoskeletal tip sheets/checklists, click here.
For access to our Interventional Pain Management tip sheets/checklists, click here.
Radiation Oncology Program
- Frequently Asked Questions
- Provider Education Presentation
- Quick Reference Guide
- Radiation Oncology Therapy Treatment Notification Form
- Utilization Review Matrix
For access to our Radiation Oncology checklists/clinical guidelines/coding standards, click here.
Conservative Treatment Forms
For access to our conservative treatment forms, click here.
Low Dose Chest CT History Form
Clinical Guidelines
- Clinical Guidelines
- Refer to the Utilization Review Matrix document to view specific codes managed by Evolent.