Imaging Outpatient Professional

Dayforce Implementation Guide

Version
R2025.1.1
Imaging Outpatient Professional

"Advanced imaging," such as MRIs, CATs, and PETs. This category is also (generally) for certain "advanced diagnostic" studies such as cardiac catheterization. If the benefit design differentiates between technical and professional components (that is, the facility that owns the machine versus the radiologist who interprets the study), then enter the professional component of the cost-share in this category.

If there is differentiation in the benefit detail based on place-of-service, then enter the facility setting (that is, hospital) information under Imaging Outpatient Facility and the free-standing or physician-owned setting information under Imaging Outpatient Professional.

If these aren't differentiated, then enter the singular advanced imaging / advanced diagnostic cost-share in this category and in the Imaging Outpatient Facility category.

You can find the benefit designs for Imaging Outpatient Facility and Imaging Outpatient Professional in the “If you have a test” section of your SBC. Frequently, the cost-shares for these benefit services are identical, in which case the SBC will include a global statement about "Imaging":

Example SBC with annotations.