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Direct Contracting

Direct Contracting for Imaging Services

Clovis Unified School District is contracted directly with RadNet & CMI Radiology Group to provide our benefitted employees, their covered dependents, and retirees with a discount on imaging services.

While there is no change to the Plan’s existing list of in-network imaging providers, participating Radnet & CMI Radiology Group locations (see below) allow members to receive imaging services at no cost while offering discounted savings directly to the Health Plan.

The RadNet logo features the word 'RadNet' in red and gray with a stylized black swirl behind it.

The logo for CMI Radiology, an imaging company.

FAQs

    • All benefitted employees receive a Direct Contracting ID card via mail
    • When using Direct Contract imaging providers, benefitted employees & their dependents will have their copays, deductibles, and pre-authorizations waived on the services received
    • In order to receive the Direct Contract benefits, members must present their Direct Contracting ID card in lieu of the Blue Shield ID Card
      • Failure to present the Direct Contract ID Card will result in the member(s) receiving the benefit of a waived copay, deductible, and waived pre-authorization and will be billed as if they visited a non-Direct Contract location
    • Digital Direct Contracting ID Cards are also available through the myHNAS online portal or mobile application; see flyer under CUSD Benefit Plans Resources for additional instructions
    • Yes – all existing Tandem PPO network providers are still available to utilize, but members will only receive the waived copay, deductibles, and waived pre-authorization benefit when utilizing a Direct Contracted provider
    • If a member has dual coverage & CUSD does not serve as the primary insurance (e.g., Medicare or a dual-covered spouse with employer serving as primary), the member should continue to use primary coverage & present the Direct Contracting ID Card to be used as secondary coverage for imaging services
      • Providing the Direct Contracting ID card still provides members with the best overall cost savings to the Health Plan