Insurance Information | GW University Hospital

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.