We also accept the following insurances.
| Company |
Requirements |
| ACCORIDA (SHAW) |
Requires Rx only. |
| ADVANTRA FREEDOM (Medicare) |
Requires Rx only. |
| AMERICA HEALTH CHOICE |
Requires pre-cert for MRI’S, CTs,
PET’s, Nuc Med’s, and Angio’s. |
| APWU |
Requires pre-cert for MRI’S, CTs,
PET’s, Nuc Med’s. |
| ALL AETNA |
Requires pre-cert for CT Scans, MRA’s,
MRI’s and PET Scans. As of March 1, 2007 all AETNA PPO’s
will need authorizations for CT’s, MRI’s,
MRA’s, CTA’s, PET SCAN’s, Nuclear Med Studies. |
| AHA SOUTHCARE |
Requires pre-cert for CT Scans, MRI’s,
MRA’s, PET Scans, and Nuc Med studies. |
| AMERIGROUP |
Requires authorization for Bone Density, CT
Scans and MRI’s. |
| AMERIBEN |
Requires Rx only. |
| ASSURANT HEALTH |
Requires Rx only. |
| ASSURE CARE |
Requires authorization for MRI’s. |
| AVMA |
Requires Rx only. |
| AV-MED |
Requires authorization for CT Scans
and Angio’s, MRA’S, MRI’s, and PET
Scans. |
| BAYCARE (Medicaid) |
WE DO NOT ACCEPT!!!!!! |
| ALL BCBS |
Requires authorization for CT’s,
Angio’s, MRI’s, MRA’s, PET SCAN’s. Requires
authorization for bone density, bone scan, CT Scans,
MRI’s, MRA’s, and PET Scans. Allow 48
- 72hrs for pre-certification. |
| BEECHSTREET |
Beechstreet is the network, so please ask
what insurance company it is and list in the notes field. |
| BOON – CHAPMAN |
Requires authorization for CT Scans and
MRI’s. |
| CARPENTER CONTRACTORS |
Requires Rx only. |
| CBSA |
Requires authorization for MRI and
CT Scans. Requires RX only for all other studies. |
| CELTIC |
Requires Rx only. |
| CHAMPVA |
Requires Rx only. |
| CUSTOM BENEFIT ADMIN. |
Requires Rx only. |
| DEFINITY HEALTH |
Requires authorization for MRI’s,
MRA’s, CT Scans. |
| (CHAMPUS) TRICARE PRIME |
Requires authorization for MRI’s,
MRA’s and PET Scans. |
| TRICARE STANDARD |
Requires Rx only. |
| TRICARE – Mediplus (Medicare) |
Requires Rx only. |
| CARE PLUS MEDICARE |
WE DO NOT ACCEPT |
| CIGNA Disney |
Requires authorization for CT Scans, MRA’s,
MRI’s and PET Scans. (PLEASE
REMEMBER DO NOT BOOK THIS MODALITY IN OPEN UPRIGHT
MRI FOR ALL CIGNA’S) |
| CIGNA
HMO |
Requires authorization for CT Scans, MRI’s and PET
Scans. Requires RX only for all other studies. |
| CIGNA
PPO |
Requires RX only. |
| CITRUS (COMM) |
Requires authorization for CT Scan’s,
CTA’s, MRI’s, MRA’s and NucMed. |
| CITRUS MEDICAID |
Requires authorization for MRI’s,
MRA’s and NucMed. (If pt is on
for prenatal care... only the first OB sono is covered...
all subsequent sono’s, including Biophysical Profiles, require
auth!) |
| CITRUS MEDICARE |
Requires authorization for MRI’s,
MRA’s and NucMed. |
| COMMUNITY
HEALTH CARE |
Requires authorization
for all studies. (PLEASE DO
NOT BOOK ANY MRI’S IN PLANT CITY NOT COVERED
BY COMMUNITY HEALTH CARE) |
| EASTERN BENEFITS SYSTEMS |
Requires Rx only. |
| EVERCARE CHOICE (Medicare) |
Requires Rx only, except for PET SCAN needs
precert. |
| EMPIRE PLAN PPO |
Requires Rx only. |
| FCE |
Requires Rx only. |
| FIRST
HEALTH |
Requires authorization for CT Scans, MRI’s, and PET
Scans. |
FISERV
(Benefit Planners) |
Requires CT’s, CTA’s, MRI’s
MRA’s, and PET Scans. |
| FLORIDA NET PASS |
Requires authorization for all studies. |
| FLORIDA MILLWRIGHTS |
Requires Rx only. |
| FORTIS |
Requires Rx only. |
| FREEDOM (Medicare) |
WE DO NOT ACCEPT!!!!!! |
| GHI |
Requires pre-cert for CT Scans,
MRA, MRI and PET Scans. |
| GEHA |
Requires pre-cert for CT Scans,
MRA, MRI and PET Scans. |
| GENERAL
AMERICAN |
No authorization required. |
| GREAT WEST |
Requires authorization for CT Scans,
MRA, MRI and PET Scans, U/S Guided Biopsies through
Med-Solutions. |
GREAT WEST
LIFE AND ANNUITY |
Requires authorization for all studies except
screening mammograms and plain x-rays. |
| GOOD SAMARITAN |
Requires Rx only. |
| HARRINGTON BENEFITS |
Requires Rx only. |
| HARVARD PILGRIM |
Requires authorization for CT Scan’s,
CTA’s, MRI’s , MRA’s, PET Scans |
| HEALTHSMART |
Requires Rx only. |
| HEALTHEASE |
Requires Rx only. |
| HEALTHEASE (Medicare) |
Requires authorization for CT’s,
CTA’s, MRI’s, MRA’s’, PET Scan’s, Nuclear Meds. |
| HEALTH ASSURANCE |
Requires authorization for CT Scan’s,
MRA’s, MRI’s, PET Scan’s. |
| HERITAGE (HCI) |
Requires Rx only for mammograms (screening
or diagnostic) and U/S’s. Requires pre-cert
for CT Scans, MRI’s, MRA’s, and PET Scans. |
| HUMANA HMO |
Requires authorization for all studies except screening
mammograms and plain x-rays. |
| HUMANA MEDICARE |
Requires authorization for CT Scans, MRI’s,
and PET Scans. |
| HUMANA PPO |
Requires authorization for all studies except screening
mammograms and plain x-rays. |
| IMG |
Requires pre-cert for CT Scans, and MRI’s. Everything
else requires Rx only. |
| INSURANCE CENTER |
Requires Rx only. |
| INSURERS ADMIN. |
Requires pre-cert for CT Scans, MRI’s,
MRA’s, Nuclear Med’s, CTA’s, PET Scans. |
| J.P. FARLEY |
Requires pre-cert for CT Scans, MRI’s,
MRA’s, Nuclear Med’s, CTA’s, PET Ssans. |
| LUMENOUS |
Requires Rx only. |
| MAGNACARE |
Requires pre-cert for CT Scan’s
and MRI’s. |
| MAIL HANDLERS |
Requires RX only. |
| MBS |
Requires Rx only. |
| MEDICAL MUTUAL OF OMAHA |
Requires Rx only. |
| MEDIPASS |
Requires authorization for all studies. |
| MEGALIFE |
Requires Rx only. |
| METCARE HEALTH (Advantage Care/Medicare) |
Requires authorization for CT Scan’s,
CTA’s, MRI’s, MRA’s, PET Scan’s, Nuclear Med. |
| NATIONAL HEALTH SERVICES |
Requires Rx only. |
| NORTH AMERICAN ADMINISTRATORS L.P. |
Requires authorization for MRI’s,
CT Scans, PET Scans. |
| ONE HEALTH HMO |
Requires authorization for everything
except screening mammograms. |
| ONE HEALTH PPO |
Requires RX only. |
| OXFORD |
Requires Rx only. |
| PENN WESTERN |
Requires Rx only. |
| PHCS |
Requires pre-cert for CT scans, MRI’s,
MRA’s, and PET scans. |
| PHYTRUST |
Requires authorization
for all studies. |
| PHYSICIANS UNITED PLAN |
Requires authorization for MRI’s,
MRA’s, CTA’s, PET Scans. |
| PHYSICIANS UNITED PLAN (Medicare) |
Requires Rx only. |
| PRAIRIE STATES |
Requires RX only. |
| PRINCIPAL |
Requires Rx only. |
| PREFERRED BENEFIT ADMINISTRATIVE |
Requires Rx only. |
| PYRAMID (Medicare) |
Requires Rx only. |
| QHP |
Requires authorization CT Scans, MRI’s
PET Scans, NUCLEAR MED’s, and angiograms. This
replaces Medicare, you must delete Medicare information
when adding this! PLEASE ALLOW 7-10 DAYS FOR AUTH COMPLETION! |
| SECURE HORIZONS (Medicare) |
Requires Rx Only. |
| SOUTHCARE/ SMITHFIELD FOODS |
Requires authorization for CT Scans, MRA’s,
MRI’s and PET Scans. |
| STAR HRG |
Requires Rx only. |
| STAY WELL |
Requires authorization for MRA’s. Rx
MUST come from the primary. |
| STRATEGIC RESOURCE CENTER (SRC) |
Requires Rx only. |
| TALL TREE ADMIN |
Requires authorization CT Scan’s,
MRI’S, PET Scan’s. |
| TOWER LIFE |
Requires Rx only. |
| UABT |
Requires Rx only. |
| UCT |
Requires Rx only. |
| UNITED AMERICAN (Medicare Supplement) |
Requires Rx only. |
| UNICARE |
Requires authorization for CT Sscans and MRI’s. |
| UNITED HEALTHCARE |
Requires authorization for CT’s,
MRI’s, Nuclear Med, PET Scan’s,
Angio’s. |
| UNITED HEATH CARE (EMPIRE) |
Requires authorization for MRI’s,
MRA, PET Scans. |
| UNITED HEATH CARE (Medicaid) |
Requires authorization for PET Scans. |
| UNITED MEDICAL RESOURCE |
Requires Rx only. |
| UNIVERSAL |
Requires authorizations for CTA’s,
MRI’s, MRA’s PET Scans. |
| UPMC |
Requires Rx only. |
| UTICA |
Requires Rx only. |
| WATKINS |
Requires RX only. |
| WAUSAU |
Requires RX only. |
| WELLCARE |
Requires authorization for PET Scans. |
| WELLCARE/MC (REPLACEMENT) |
Requires authorization for CT Scans, MRI’s,
PET Scans, angiograms. |
