Payers

Medical paperwork

Aetna

Service Type
  • Radiology
  • Hospital inpatient
  • Hospital outpatient
  • Mental health/inpatient/outpatient
Requires Authorization
  • MRI, PET, CT, MRA, Nuclear Medicine and Cardiology
  • All inpatient services
  • Outpatient surgeries are according to group, plan and codes
Telephone
  • Radiology: 888-693-3211
  • Hospital inpatient: 888-632-3862 or number listed on patient's card
Plan Type HMO/POS/PPO
Network

Plans just using the Aetna network need to be called. Please call number listed on insurance card.

AmeriHealth

Service Type
  • Radiology
  • Hospital inpatient
  • Hospital outpatient
  • Mental health/inpatient/outpatient
Requires Authorization
  • MRI, PET Scan, CT, MRA, Nuclear Medicine and Cardiology
  • All inpatient services
  • Outpatient surgeries are according to plan
  • Some services not covered for alliance members
Telephone

    Effective July 1, 2014, contact National Imaging Association (NIA) for prior authorization for the following non-emergent, advanced outpatient imaging services:        

        •    CT/CTA
        •    MRI/MRA
        •    PET Scan
        •    CCTA
        •    Nuclear Cardiology/MPI

    To obtain authorization, go to the NIA website or call the NIA dedicated toll-free phone number at 1-800-424-5657.

    All other services, please call 800-408-7510. Not all services are covered for alliance members

    Plan Type Medicaid/Alliance
    Network

    Only accepted in Washington, DC.

    BCBS/Local

    Service Type
    • Radiology
    • Hospital inpatient
    • Hospital outpatient
    • Mental health/inpatient/outpatient
    Requires Authorization
    • MRI, PET Scan, CT, MRA, Nuclear Medicine and Cardiology
    • All inpatient services
    • Outpatient surgeries are according to group, plan and codes
    Telephone
    • For all services: 800-443-5434 or 866-773-2884, option 1
    • Mental health: 800-245-7013 or 866-773-2884, option 6
    Plan Type HMO/PPO/POS
    Network

    All out of state BCBS plans need to be called for everything. This includes plans using the BCBS network.

    Cigna

    Service Type
    • Radiology
    • Hospital inpatient
    • Hospital outpatient
    • Mental health/inpatient/outpatient
    Requires Authorization
    • MRA, PET, CT, MRA, Nuclear Medicine and Cardiology
    • All inpatient services
    • Outpatient surgeries are according to group, plan and codes
    Telephone
    • Radiology: 888-693-3211        
    • Hospital inpatient: 800-244-6224 or number listed on patient's card
    Plan Type HMO/POS/PPO
    Network

    Plans just using the Cigna network need to be called. Please call number listed on insurance card.

    Tricare

    Service Type
    • Radiology
    • Hospital inpatient
    • Hospital outpatient
    • Mental health/inpatient/outpatient
    Requires Authorization All services
    Telephone 877-874-2273. All beneficiaries with Prime Benefits require approval. Most standard beneficiaries are ok for services.
    Plan Type All carriers/HMO
    Network

    Plans just using the Tricare network need to be called. Please call number listed on insurance card.

    Trusted

    Service Type
    • Radiology
    • Hospital inpatient
    • Hospital outpatient
    • Mental health/inpatient/outpatient
    Requires Authorization
    • MRI, PET, CT, MRA, Nuclear Medicine and Cardiology
    • All inpatient services
    • Outpatient surgeries are according to plan
    • Some services not covered for alliance members
    Telephone

    All services require approval. Please call 800-821-1132. There is a prior authorization fax form on the Trusted website that needs to be submitted to request approval.

    Plan Type Medicaid/Alliance
    Network

    Only accepted in Washington, DC.

    United Healthcare

    Service Type
    • Radiology
    • Hospital inpatient
    • Hospital outpatient
    • Mental health/inpatient/outpatient
    Requires Authorization
    • MRI, PET, CT, MRA, Nuclear Medicine and Cardiology
    • All inpatient services
    • Outpatient surgeries are according to group, plan and codes
    Telephone
    • Radiology, including Nuclear Medicine and Cardiology: 866-889-8054        
    • All other services: 877-842-3210
    Plan Type HMO/PPO/POS
    Network

    Plans just using the UHC network need to be called. Please call number listed on insurance card.