|
1199 Care
to Care |
1199
Home Care & Multiplan |
(646)
473-7160 |
CT/CTA,
MRI/MRA, NM, PETCT |
Care
to Care (888)
910-1199 |
|
Aetna |
HMO |
(888)
632-3862 |
CT/CTA,
MRI/MRA, NM, PETCT |
(877)
773-2884 |
|
Aetna |
PPO |
(888)
632-3862 |
CT/CTA,
MRI/MRA, NM, PETCT |
(877)
773-2884 |
|
Aetna |
MC/POS |
(888)
632-3862 |
CT/CTA,
MRI/MRA, NM, PETCT |
(877)
773-2884 |
|
Affordable |
Multiple Plan, First Health PPO &
Workers Compensation |
|
CT/CTA,
MRI/MRA, NM, PETCT |
AIM (866) 714-1107 |
|
Amerigroup |
Auth is required from NIA |
(800)
454-3730 |
CT/CTA, MRI/MRA, NM, PETCT |
(800) 642-7565 or |
|
AMIDACARE |
|
(800) 556-0674 |
No Authorization required except for PETCT |
(888) 364-6061 |
|
Arch Care |
Authorization letter is required |
|
CT/CTA,
MRI/MRA, NM, PETCT |
(866) 263-9083 |
|
Beech
Street |
|
Call
insurance plan |
|
|
|
Blue
Cross & Blue Shield |
|
(800)
676-2583 opt.
4 |
CT/CTA,
,MRI/MR Referral form is required for US biopsy exams, NM (Heart only), PETCT |
(800)
676-2583 opt. 4 |
|
Blue
Cross & Blue Shield (ANTHEM) |
|
(800)
676-2583 opt. 4 |
CT/CTA,
MRI/MRA, NM (Heart only), PETCT Referral
form is required for US biopsy exams |
(800)
676-2583 opt. 4 |
|
Blue
Cross & Blue Shield (EMPIRE) |
|
(800)
676-2583 opt. 4 |
CT/CTA,
MRI/MRA, NM (Heart only), PETCT Referral
form is required for US biopsy exams |
AIM
(877) 430-2288 opt.1 Approve
under NPI 1568480523 |
|
Blue
Cross & Blue Shield (FEDERAL) |
|
(800)
676-2583 opt.
4 |
NO
AUTH. REQUIRED |
|
|
Blue
Cross & Blue Shield of New Jersey (HORIZON) |
|
(800)
676-2583 opt. 4 |
CT/CTA,
MRI/MRA, NM (Heart only), PETCT Referral
form is required for US biopsy exams |
(877)
773-2884 |
|
CCM-Comprehensive
Care Management HMO |
|
CCM (718) 515-8600 or (212)860-8200 |
Referral
from CCM needed for all procedures |
(646)-536-5512 |
|
Cigna |
HMO,
POS, Open access & PPO |
(800)
244-6224 |
Authorization
is required CT/CTA, MRI/MRA, PETCT –Film
consults -No authorization required -
Interventional Radiology –needs authorization |
AIM
(800) 252-2021 |
|
Empire
(UHC) |
|
(888)
333-9067 opt. 3 |
CT/CTA,
MRI/MRA, NM, PETCT |
(888)
333-9067 opt. 3 |
|
Fidelis |
|
(888)
343-3547 |
Various
requirements for exams Script
is required. |
|
|
GHI (EMBLEM HEALTH) |
HMO,
PPO, Comprehensive Benefits Plan |
(212)501-4444 |
CT/CTA,
MRI/MRA, NM, PETCT |
Care
Core (877) 773-2884 |
|
Great
West |
Out-of-Network |
(800)
663-8081 |
CT/CTA,
MRI/MRA, NM, PETCT |
(888)
693-3295 |
|
Guardian |
|
|
No
Authorization is required |
|
|
Health
Plus Medicaid |
|
(800)
450-8753 |
Authorization
for: MRI/MRA, PETCT, CT/CTA, US-pregnant pelvis Referral
for: All other procedures |
(800)
450-8753 opt. 3,7 Approve
under NPI 000424111179 |
|
Health
first 65+/LIP, MHI |
|
(888)
801-1660 |
CT/CTA,
MRI/MRA, NM, PETCT Prescriptions needed for X-Ray/US |
Care
Core (877)
773-2884 |
|
Health
first-Medicaid/CHP/A+ |
|
(888)
801-1660 |
CT/CTA,
MRI/MRA, NM, PETCT Prescriptions needed for X-Ray/US |
Care
Core (877) 773-2884 |
|
Health
net |
|
|
CT/CTA,
MRI/MRA, NM, PETCT |
Care
Core (877)
773-2884 |
|
HIP (EMBLEM
HEALTH) |
|
(800)
447-8255 |
CT/CTA,
MRI/MRA, NM, PETCT HIP
REFERRAL for US/ X-Rays |
Care
core (877)
773-2884 If not handled by Care Core obtain referral from PCP |
|
HIP
Medicare and HIP Medicaid |
|
(800)
447-8255 |
HIP
REFERRAL for US/ X-Rays Authorization
for: CT/CTA, MRI/MRA, PETCT |
Care
Core (877)
773-2884 If
not handled by Care Core obtain referral from PCP |
|
Magna
Care |
|
Call
insurance (800)
235-7267 |
Call
insurance |
|
|
Medicare |
PART
B |
(877)
869-6504 |
No
Authorization is required |
|
|
Medicaid New
York |
|
|
CT/CTA,
MRI/MRA, NM (Heart only), PETCT |
(888)
209-4122 |
|
Metro
Plus Medicaid |
|
(212)
908-3782 |
No
Authorization is required |
|
|
Metro
Plus Medicare |
HMO |
|
CT/CTA,
MRI/MRA, NM, PETCT |
(800)
303-9626 |
|
Multiplan |
|
Call
insurance plan |
|
|
|
Neighborhood
Health |
(800)
765-3805 |
CT/CTA,
MRI/MRA, NM, PETCT and
ULTRASOUND |
(800) 765-3805 |
|
|
No
Fault |
Case
must be open |
|
Letter
of Medical Necessity is required from the Primary Care Provider |
|
|
Oxford
(Care Core) |
All
plans accepted |
(800)
666-1353 |
CT/CTA,
MRI/MRA, NM, PETCT |
Care
Core (877)
773-2884 |
|
PHCS |
All
plans accepted |
Call
insurance plan |
|
|
|
Pomco |
PPO |
Call
insurance plan |
|
|
|
Select
Health New
York Presbyterian |
HMO |
(212)
404-3177 (212)
404-1355 |
No
Authorization is required |
|
|
United
Healthcare |
Mount
Sinai Employees |
(877)
842-3210 |
No
Authorization is required |
|
|
United
Healthcare Choice
Plus |
|
(877)
842-3210 |
No
Authorization is required |
|
|
United
Healthcare (New Jersey) |
|
(877)
842-3210 |
CT/CTA,
MRI/MRA, NM, PETCT |
Care
Core (877)
773-2884 |
|
United
Healthcare HMO |
AARP Secure
Horizons Evercare |
(877)
842-3210, opt. 2 |
CT/CTA,
MRI/MRA, NM, PETCT |
(866)
889-8054 |
|
VNS
Medicare |
HMO |
(866)
791-2215 |
Check
for Authorization |
(866)
791-2215 |
|
Worker’s
Compensation |
|
|
MRI-All need Authorization EXCEPT EXAMS for BACK, NECK, SHOULDER OR KNEE CT-Authorization
is required if patient is having more than one CT exam, All NM and PETCT |
|
|
World
Trade Center |
|
|
Authorization
form is required for all exams |
|