 |
 |
Most insurance companies
require you to obtain authorization, known as
precertification, for CTs, MRIs, PET, and some nuclear
medicine procedures. Please check your insurance card to
see if you are required to obtain precertification
before you have your exam.
When you’re in the best of health, dealing with insurance paperwork can be confusing, and when you’re worried or not feeling well, it’s absolutely daunting. We in the SIRA billing office will do what we can to help you if you call or bring your paperwork to our office located across the street from the Imaging Center, at 429 Landmark Avenue.
|
SIRA is in network with the
following insurance providers: |
|
◊ |
Anthem Insurance – All regular Anthem products including Wellpoint, Anthem’s parent company. Most Blue Cross/Blue Shields access the Anthem network. A very limited number of Blue Cross/Blue Shields are HMOs and do not acknowledge the Anthem access, usually out of state. (Patient should verify with their member services.) Also, insurances that use the Anthem Network “administered” by Anthem – e.g., union plans.
|
|
◊ |
Aetna Student Health through
Encore Network until 9/1/09 |
|
◊ |
BCCP (Breast and Cervical Cancer Program) |
|
◊ |
Choice Care/Humana |
|
◊ |
CIGNA in-network through Sagamore 7/1/07, claims sent to CIGNA. Exception: CIGNA HMOs are not in-network. |
|
◊ |
Cook |
|
◊ |
Cook through IHN – Cook employees that live outside the area surrounding Bloomington/Bedford/Spencer, but sometimes do see Bloomington physicians and have SIRA services. Claims go through IHN. |
|
◊ |
Encore – Can be used by several
different companies or employers. |
|
◊ |
Healthy Indiana Plans (HIP) –
Administered by Anthem and MDWise. |
|
◊ |
Indiana Comprehensive Health |
|
◊ |
Indiana Health Network (IHN) – Can be used by several different companies or employers. |
|
◊ |
Medicaid – Indiana – No
out-of-state Medicaid. Patient is responsible
for charges. |
|
◊ |
Medicaid – Restricted – A
referral from your primary care physician to SIRA Imaging or to SIRA Inc. is needed, depending where services are rendered if SIRA is not listed on web site/swipe ticket for patient. A referral to the specialist ordering the x-ray does not cover SIRA. |
|
◊ |
Medicaid Managed Care plans –
NOT CONTRACTED, but the Medicaid discount is
honored.
- Anthem Medicaid YRH prefix
- Managed Health Services (MHS)
- MDWise
Medicaid managed care plans require precertification for certain radiology services, MRIs, CTs, PETs, etc. They do NOT give retroactive precertification. |
|
◊ |
Medical Mutual |
|
◊ |
Medicare – Medicare-managed care
or replacements (eg, Unicare, Humana Gold Choice, Anthem, etc.) |
|
◊ |
Medicare / Railroad Medicare |
|
◊ |
Sagamore – Used by several different companies or employers – card should list Sagamore on it somewhere. |
|
◊ |
SIHO |
|
◊ |
Tricare – Healthnet Federal Services, for active service members and families, and Wisconsin Physicians-Tricare for Life (retirees) |
|
◊ |
Unicare – Through Anthem contract, claims filed to Unicare. |
|
◊ |
United Healthcare |
|
◊ |
Veterans – Not contracted, but
the VA discount is honored if visit approved by
Veterans |
|
◊ |
VIM – For Hospital Services
only. ER visits not covered under VIM unless
sent to ER by VIM. VIM patients are not seen at
Imaging Center (exception: mammograms, etc.,
patient should have paperwork). |
After your services, you will receive an invoice from SIRA. If the services you received were conducted at Bloomington Hospital, Bloomington Hospital of Orange County or Dunn Memorial Hospital, you will receive a separate invoice from that organization. These are separate charges, each of which you are responsible for paying.
We try to make our part of the invoicing as clear as possible, but if you have questions regarding your bill, please call the billing office.
Phone 812-332-8242 or 800-951-4621
Open Monday-Friday, 8 A.M. to 5 P.M.
|
|
|
