Billing Office Information

Insurance/Health Plans Accepted

Patient Forms

Office Pre-Certification Information

Patient Pre-Certification

Insurance Carriers Needing Prior Authorization & Referrals

Insurance Carrier Pre-Certification Required

AETNA Healthplans
(All plans as of 5/1/2007)

Call MedSolutions @ 1-888-693-3211

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)

ANTHEM Blue Cross & Blue Shield
(All Plans-except BlueCare Family Plan (Medicaid plan)

Anthem MediBlue HMO also required

Call NIA @ 1- 888-864-7237

PreCerts required:
    MRI, MRA, CT and Nuclear Cardiology

CIGNA HMO
(PCP name on card & some PPO plans)

Confirm PreCert: Call AIM @ 1-800-859-5288

PreCerts required:
    CT, MRI, and Nuclear Cardiology.

CONNECTICARE
(Pre-cert # for each procedure)

Call NIA @ 1- 877-607-2363

PreCerts required:
    MRI, MRA, CT & Nuclear Cardiology.

No PreCerts for DEXA as of 9/1/01

FIRSTCHOICE Preferred One - Medicaid

Call: 1-800-925-3606

PreCerts required:
    MRI & MRA Only

GHI & GHI HMO SELECT
As of 1/1/07 - (primary only)

PreCerts required:
    CT, MRI, MRA , Nuclear Medicine

HEALTHNET
(HealthNet Commercial, Medicare & Medicaid plans)

Call CareCore @ 1- 866-889-8059

PreCerts required:
    MRI, MRA, CT & Nuclear Medicine, Cardiac imaging & OB ultrasound (any the 3rd US)

HEALTHNET - IBEW Local 90 Plan
(Only with Group # starting with TH *****)

HEALTHNET - Pearl Plan
(Does NOT require precerts as of 1/1/07)

PreCerts required:
    No precerts required for above mentioned services.

Diversified (North East Direct)
(Call to verify plan requirements)

Call: 1-800-423-5597

PreCerts required:
    MRI, MRA. CT, Nuclear Medicine & Cardiac Imaging

OXFORD Health Plans
(HMO & Oxford Medicare Advantage Plan)

Call CareCore @ 1- 877-773-2884

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)

TRICARE - Prime Plan & Life Plan.

Call: 1-866-773-0404

PreCerts required:
    MRI, MRA, CT, Nuclear Medicine & Cardiac Imaging

STIRLING BENEFITS/HMC NETWORK

Call 1-800-447-6689

PreCerts required:
    MRI, MRA, CT, Nuclear Medicine & Cardiac Imaging

WELLCARE OF CONNECTICUT - All Plans

Call: 1-866-579-8006

PreCerts required:
    MRI, MRA, CT, Nuclear Medicine & Cardiac Imaging

WORKERS COMPENSATION
(Date of Injury and Claim Number are required)

Information Required:

  • Name & phone number of patient's workers compensation carrier.
  • Employer name and address.
  • Private insurance info (if available)
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