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One of the confusing aspects of billing for a facility-based
radiologist, is that if you have had
radiology services at a facility, you will receive two bills -- one from
the radiologist (Virginia Radiology Associates, P.C.), and one from the
facility. But, you are not paying for the same thing twice. Each radiology
exam consists of TWO parts:
- 1) The facility provides the technologists, equipment, and the
supplies involved
- 2) A specially trained physician, a radiologist, directs and
supervises the examination and interprets the results.
If you have had some types of examinations, you will have met the
radiologist. But, even if you have not met him or her in person, the
radiologist will have studied your examination and sent a written report
to your physician. This report is also kept in your medical record at the
facility. The facility includes their portion of the radiology exam in the
their bill. Since the radiologist is not an employee of the facility,
we bill our portion of the radiology services separately.
As a courtesy to you, we will bill your health plan(s) directly for
services provided. Virginia Radiology Associates strives to comply with
all billing regulations and requirements. If you have any concern
regarding your bill, please CONTACT US
directly and we will be glad to review your concern. Since we are
facility-based, we rely on the information that you provide to each
facility at the time services are rendered. If you have insurance and
receive a statement from us for claims that have not been billed to your
insurance, CONTACT US promptly with
your insurance information, and we will be happy to submit your claim to
your insurance for you.
We also participate with all of the major managed care plans in our
service areas. Please refer to our Insurance Participation List to see if
your plan is listed. Please note that this list represents the plans
that Virginia Radiology Associates, P.C. participates with. It is not
indicative of the participation list of any of our facilities. You should
reference your health plan’s participation list or contact the facility directly to see if they participate in your plan.
While our facilities make every effort to know the referral and
pre-authorization requirements of the insurance plans that they are
contracted with, it is our recommendation that you contact your insurance
plan when trying to confirm your plan requirements. Please check your
insurance identification card for the telephone number to call. Many
health plans even require some outpatient radiology procedures to be
pre-authorized, such as MRIs and CTs.
We want to hear from you if you have any questions about your bill or
insurance claim
status. You can make your inquiry by telephone, FAX, or e-mail.
You can reach us by phone at 703-361-3030 or at 1-800-344-3703, from 8:00
am until 4:00 pm, Monday through Friday. You may FAX us at any time at
703-361-2687. You may also e-mail us any time at
billing@virginiaradiology.com.
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Insurance Participation List
| Updated 2/20/03 |
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Aetna HMO & PPO
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Anthem – all products
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Healthkeepers HMO
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KeyAdvantage PPO
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KeyCare PPO
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Trigon Adminstrators
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CareFirst – all products
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CIGNA HMO & PPO
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Community Care Network PPO (CCN)
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Community Health Insurance Reciprocal (CHIR)
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First Health
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Kaiser – all products
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MAMSI – all products
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Alliance PPO
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MAMSI Life and Health
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MDIPA HMO
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Optimum Choice Advantage
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Optimum Choice HMO
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Medicaid
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Medicare
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NCPPO
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One Call Medical (Pratt and Prince William only)
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One Health
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PHCS
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Southern Health
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Tricare
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United HealthCare
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