CommercialCoverageMedium impact
00.03.02af, Diagnostic Radiology Services Included in Capitation
Independence Blue Cross·Radiology, Diagnostic Imaging·Medical Policy
Effective date
Jan 1, 2025
We identified it
Jun 19, 2026
Summary
A new policy regarding diagnostic radiology services included in capitation has been updated for commercial plans, effective January 1, 2025. This policy likely affects how diagnostic imaging services are billed and reimbursed under capitated payment arrangements.
Action Required
By February 1, 2025: Billing team should review the full policy details at the provided URL to understand specific changes to diagnostic radiology billing under capitation arrangements. Update billing workflows and staff training materials accordingly based on the complete policy requirements.