Regional Radiology participates in all major insurance plans and HMOs. Any questions regarding the information below can be answered by calling (718) 876-2000, ext. 716.

  Affinity (formerly Genesis)
  AmeriHealth TPA, HMO, POS
  (precert. AIM)
  1199 Home Health Care
  1199 National Benefits Fund
  (precert. MedFocus)
  Aetna/U.S. HealthCare (precert CareCore)*
  American Postal Workers Union
  (precert. MedSolutions)
  Anthem Health
  BCE Emergis
  BeechStreet
  CareCore National LLC
  Aetna HMO
  GHI and GHI HMO
  HIP not SIMG HIP members
  Oxford
  CarePlus - CHP, FHP
  CCN (Community Care Network)
  CenterCare
  Choice Care Network
  Humana (C.C. Network logo only)
  Meridian (C.C. Network logo only)
  CHN (Consumer Health Network)
  Cigna
  HMO (precert. AIM)
  POS, Direct POS & PPO
    (precert. Cigna)
  D.O.D. - MRIs, MRAs only
  ElderPlan
  Empire Blue Cross/Blue Shield
  (precert. NIA)
  Blue Card with suitcase only
  Blue Choice Senior Plan
  Child Health Plus
  HMO
  EPO, PPO, Indemnity
  FEP
  32 BJ
  Empire Plan (see United Healthcare)
  Fidelis Care - CHP, FHP
  First Health
  GEHA (precert. MedSolutions)
  GHI (precert. CareCore)
  GHI - HMO (precert. CareCore)
  Great-West (pre-auths. Med Solutions)
  New England Financial
  Alta
  One Health Plan of New York
  Guardian (PHCS)
  Health Care Compare/First Health
  Health Care Partners (Heritage)
  HIP, Elderplan - follow HCP rules if
    HCP PCP
  Healthnet Smartchoice Senior Plan
  Health Net (PHS) (precert. CareCore)
  HMO
  PPO
  Smartchoice Senior Plan precert with:
     Healthcare Partners, IPA PCP
       driven
     Touchstone Health Partnership,
       IPA PCP driven
  Health Plus - CHP, FHP
  HIP - Check card for logo (precert. CareCore)**
  Child Health Plus
  HIP HMO
  HIP Medicaid
  HIP VIP
  Access and Select plans
  SIMG HIP MRI/MRA, CT, stress.
    Need SIMG referral, not regular
    HIP referral.
Horizon Health Care of New Jersey
Horizon Health Care of New York (precert NIA)
Humana - Not all logos accepted
  Choice Care Network logo
  First Health Logo
Independent Review Services
Magnacare/MagnaHealth/MagnaComp
MasterCare
MedFocus (1199, W/C)
Medicare
MedSolutions
  Great West, GEHA, APWUHP
MetraComp
Multiplan (precerts vary; must call)
National Health Plan
NPPN (National Preferred Provider
  Network)
New York Fire Department
New York State Disability
New York Network Management, LLC
  CHN Consumer Health Network
  CCN Workers Comp
  Devon
  First Health/Affordable
  UP & UP

New York Servitas, IPA
  Benefice Health Plan

New York State No Fault
New York State Workers Comp
One Call Medical
One Health Plan (See Great-West)
Oxford (precert. CareCore)
  Oxford Medicare
PHCS (Physicians Health Care
 Service)
  Guardian
PHS (now Health Net)
Qualcare
Railroad Medicare (see United
  Healthcare)
Selectpro
TRICARE/Healthnet Federal
Uniformed Services Family Health Plan (USFHP)
  Radiation Therapy
  CT for Radiation Therapy
  DEXAs, MRI, MRA,
  Speech evaluation GI series
United Healthcare
  Child/Family Health Plus
  Empire Plan
  MetraHealth
  Railroad Medicare
UP & UP (United Payors/United
  Providers)
Wellcare (GHI HMO)
Workers Comp

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


 

Notes on above:

 

* Aetna - Certain 70,000 CPT Series involve non-70,000 component codes - these require a referral. Back

 

** HIP - For referrals use Prov #M4247P - 360 Bard Site. Back

 

 

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