| Insurance Carrier |
Pre-Certification Required |
AETNA Healthplans
(All plans as of 5/1/2007)
Call MedSolutions @ 1-888-693-3211
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PreCerts required:
MRI, MRA, CT Scan, Pet Scan, Nuclear Cardiac Imaging
Referrals Needed:
All NON 70000 Series imaging procedures.
(Cardiac echos - 93325 color flow, venous, carotid arterial U/S)
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ANTHEM Blue Cross & Blue Shield
(All Plans-except BlueCare Family Plan (Medicaid plan)
Anthem MediBlue HMO also required
Call NIA @ 1- 888-864-7237
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PreCerts required:
MRI, MRA, CT and Nuclear Cardiology
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CIGNA HMO
(PCP name on card & some PPO plans)
Confirm PreCert: Call AIM @ 1-800-859-5288
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PreCerts required:
CT, MRI, and Nuclear Cardiology.
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CONNECTICARE
(Pre-cert # for each procedure)
Call NIA @ 1- 877-607-2363
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PreCerts required:
MRI, MRA, CT & Nuclear Cardiology.
No PreCerts for DEXA as of 9/1/01
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FIRSTCHOICE Preferred One - Medicaid
Call: 1-800-925-3606
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PreCerts required:
MRI & MRA Only
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GHI & GHI HMO SELECT
As of 1/1/07 - (primary only)
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PreCerts required:
CT, MRI, MRA , Nuclear Medicine
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HEALTHNET
(HealthNet Commercial, Medicare & Medicaid plans)
Call CareCore @ 1- 866-889-8059
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PreCerts required:
MRI, MRA, CT & Nuclear Medicine, Cardiac imaging & OB ultrasound (any the 3rd US)
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HEALTHNET - IBEW Local 90 Plan
(Only with Group # starting with TH *****)
HEALTHNET - Pearl Plan
(Does NOT require precerts as of 1/1/07)
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PreCerts required:
No precerts required for above mentioned services.
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Diversified (North East Direct)
(Call to verify plan requirements)
Call: 1-800-423-5597
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PreCerts required:
MRI, MRA. CT, Nuclear Medicine & Cardiac Imaging
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OXFORD Health Plans
(HMO & Oxford Medicare Advantage Plan)
Call CareCore @ 1- 877-773-2884
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PreCerts required:
MRI, MRA, CT, Nuclear Medicine & Cardiac Imaging
Referrals Needed:
All NON 70000 Series imaging procedures.
(Cardiac echos - 93325 color flow, venous, carotid arterial U/S)
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TRICARE - Prime Plan & Life Plan.
Call: 1-866-773-0404
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PreCerts required:
MRI, MRA, CT, Nuclear Medicine & Cardiac Imaging
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STIRLING BENEFITS/HMC NETWORK
Call 1-800-447-6689
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PreCerts required:
MRI, MRA, CT, Nuclear Medicine & Cardiac Imaging
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WELLCARE OF CONNECTICUT - All Plans
Call: 1-866-579-8006
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PreCerts required:
MRI, MRA, CT, Nuclear Medicine & Cardiac Imaging
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WORKERS COMPENSATION
(Date of Injury and Claim Number are required)
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Information Required:
- Name & phone number of patient's workers compensation carrier.
- Employer name and address.
- Private insurance info (if available)
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