Contracted Insurance and FAQ
Radiology Ltd.’s billing team is committed to providing the best customer service. Insurance claims will be promptly filed, including Medicare supplemental claims. A statement will be mailed for any additional amount due as insurance indicates. See below for major insurances, networks and insurance FAQ’s.
Radiology Ltd. is a preferred provider for the following insurance companies:
AARP Medicare Complete (Formally Secure Horizons)
Aetna US Healthcare* (not contracted with Aetna Sr)
AHCCCS (All Plans)
Banner Health Plus
Blue Cross/Blue Shield including BCBS Advantage
Care1st HealthPlan (AHCCCS)
CareMore Health Plan
Cigna (excludes Health Springs HMO)
Cochise Health System
Department of Labor
EverCare and Community Plan UHC* (Formally EverCare Select)
Health Choice Arizona
Health Choice Generations
Health Net / Health Net Medicare Advantage
Humana Community HMO
Indian Health Services
Mail Handlers Benefit Plan (MHBP)
Mayo Health Plan Arizona
MDIA (Medrisk Data)*
Mercy Care Healthcare Group
One Call Care Diagnostic
UHC West (Formally Pacificare)
Preferred Medical Claim Solutions
State Compensation Fund
United Medical Resources (UMR)
United Healthcare Community Plan* (Formally APIPA)
United Healthcare Medicare Complete
United Military West – VA
University Family Care (AHCCCS)
University Physician Advantage
* Not contracted with Radiology Ltd. – Carondelet
Coverage varies with each insurance company. We encourage you to consult with your insurance provider for specific information on exam and procedure coverage. For commonly non-covered services you will be asked to sign an Advanced Beneficiary Notice advising you that the procedure you are having may not be covered under your policy.
Insurance plans have different coverage based on the policy you or your employer group selected. Some exams are considered investigational or experimental. In other cases, you may be responsible for a co-insurance, co-payment, or deductible before the insurance will pay for the services you received.
Co-insurance: You pay a certain percentage after the deductible (if any) has been met, and the insurance will pay the remaining percentage of the costs. This is determined by the contract you signed with your insurance company. An example would be an 80/20 plan where the insurance pays 80% and you would owe 20% of the allowed amount for the exam.
Co-payment: You pay a specific amount for healthcare services based on the level, at the time of services are rendered with the insurance company paying the remaining costs. This is determined by the contract you signed with your insurance company. Some plans have a varied copayment based on the provider being a primary care physician or a specialist.
Deductible: The amount you have to pay before the insurance company will cover any costs. This is determined by the contract you signed with your insurance company.
If you feel your statement is incorrect and you would like to dispute the charges, please mail the dispute in writing to: Radiology Ltd., Attention Disputes, 677 N Wilmot, Tucson, AZ, 85711.
You can contact and update your insurance information by calling our Business Account Representatives at (520) 296-0278. You are responsible for letting us know that your insurance coverage has changed. Insurance coverage is billed based on the plan that was in effect on the date the services were rendered.
The amount owed after the insurance company has paid is based on the agreement made between you and your insurance company. You may be responsible for a co-insurance, co-payment, or deductible before the insurance will pay for the services you received.
Radiology Ltd. offers various discounts for non-insured patients or patients electing not to use their insurance. Monthly payment plan arrangements may be made if needed. For more information, please contact us at (520) 545-1818. The estimated cost of your procedure with payment options will be reviewed with you. Major credit cards are accepted.
Radiology Ltd. provides the interpretations of imaging you received for locations throughout Tucson by a sub-specialized radiologist. Since we supply the interpretation of the imaging, you may receive a bill for the interpretation from Radiology Ltd. and a bill for the technical portion of the exam from the place services were received.
Radiology Ltd. offers various monthly payment plan arrangements. For more information, please contact a Financial Advisor at (520)795-2485.
There is no additional discount available after your insurance has paid due to contractual obligations Radiology Ltd. has with most insurance plans. Your insurance plan processes your claim based on your coverage and our contracted rate and all balances must be submitted to the patient for payment.
We ask for a 50% down payment towards your overall estimated out-of-pocket expense at the time of services. This helps keep down the overall cost for the exam billed to you after the insurance company processes.
This will be dependent upon the timeliness of the insurance plan processing the claim.
I received a letter stating my account has been referred to a collection agency or collection attorney. Why was this done
and what should I do?
Before your account is placed with a collection agency, you will receive three billing statements. You may also receive phone calls from Radiology Ltd.’s Billing Office personnel during this billing period. After these steps have been taken and payment or payment arrangements have not been made, the account is then referred to a collection agency. Once your account is placed with an outside collection agency, we ask that you work directly with the agency to resolve the balance.
An Advance Beneficiary Notice (ABN) is a form that is issued by providers, physicians, practitioners, and suppliers to Original Medicare (fee for service) beneficiaries in situations where Medicare payment is expected to be denied. It lists items or services that Medicare isn’t expected to pay for, an estimate of the costs for the items and services, and the reasons why Medicare may not pay. The ABN gives you information to make an informed choice about whether or not to get the items or services, understanding that you may have to accept responsibility for payment. To see an example of the ABN form, click here.