Participating Health Plans – Oaks and Suntree

Atop

AARP Medicare Complete (United Healthcare line)

Accountable (AHP)/now Interplan (IHG)

ACS – Ancillary Care Services

Advantra Freedom/Coventry (Medicare Advantage PFSS)

AHC/Multiplan

Aetna HMO/PPO - prov#0801921 PPO prov#4623394 (Auth needed for CT, MRI/MRA, NUCMED STRESS)

Aetna/SRC (Auth needed for CT, MRI/MRA, NUCMED STRESS)

Aetna Health Inc (Medicare HMO)

Aetna Global (Auth needed for CT, MRI, NUCMED EXAMS)

Aetna Student Health

Affordable Healthcare Options

All Rad Direct PPO (Auth needed for CT, MRI/MRA, NUCMED STRESS)

American Medical Security (AHP/PHCS)

Ancicare/Work Comp (Auth needed for everything)

Anthem BCBS (NO AUTH needed but a pre-determination is recommended through their pre-determination line)

APWU (Beechstreet)

APWU/Multiplan (for other imaging)

APWU (Auth needed for CT, MRI/MRA, NM CARDIO thru Medsolutions)

Auto Insurance PIP

AVALON HEALTHCARE (Auth needed for CT, MRI/MRA, NUC MED EXAMS)

AVMED (PHCS)/NIA (Auth needed CT, MRI/MRA, NUC MED STRESS)

Btop

Beechstreet

BCEemergis/Multiplan

Benesight

Blue Cross Blue Shield – Oaks Provider #V2480 Suntree Provider #V000T

Blue Cross Blue Options (Auth needed for CT, HSG, MRI/MRA, NUCMED STRESS)

Blue Cross Health Options (Auth needed for CT, MRI/MRA, NUCMED STRESS)

BCBS Northrop (Alpha Prefix NGO) (Must call to verify Auth requirements some needs predetermination)

Ctop

Care Credit

Care Plus

CCN

Champva

ChoiceCare “Network” PPO (NOT local ChoiceCare “Healthplan HMO”)

Cigna HMO

Cigna PPO (Auth needed for CT, MRI/MRA, NUCMED STRESS)

Cigna International

Cigna Samba Health Benefit Plan

Citrus Care-All billed to Medsolutions (Auth needed FOR CT, MRI/MRA, NUC MED EXAMS)

Commonwealth Service Center (Auth needed for CT, MRI/MRA)

Connecticut General Life Insurance (Cigna Product):

Core Choice

Coresource/Aenta

Coresource (PHCS/CCN)

Coventry/NIA (Advantra Freedom/Vista Healthplans / Medicare Advantage) (Auth needed for CT, MRI/MRA, NUCMED STRESS)

Dtop

Difinity Health (UHC) (Auth needed for CT, MRI/MRA, NUCMED STRESS)

Etop

Empire Plan/UHC: (Auth needed for most contracts- CALL Empire)

ESIS/Workers Comp (Auth for everything)

Evercare/Medicare Replacement (Auth needed for CT/CTA, MRI/MRA, NUCMED STRESS)

Evolution Health Care

Ftop

FC Diagnostics

First Health/Health and Welfare Benefit Systems

First Health/Florida Hospital Healthcare System (Auth needed for CT, MRI/MRA, NUC MED EXAMS)

First Health/Atlantic Medical (Auth needed for CT, MRI AND NUC MED EXAMS)

Florida League of Cities

Fortified Provider Network

FREEDOM HEALTH/MEDICARE REPLACEMENT (Precertification (authorization) needed for MRA)

Freedom Life Insurance Company/Multiplan

Gtop

Gallagher Benefit through First Health or PHCS

GEHA (Auth needed for CT, MR & NUCMED STRESS-thru Medsolutions)

GHI – (Secondary to Medicare)

GHI – (NOT A PROVIDER –must verify if patient out-of-network benefits, they will pay the patient who will in turn reimburse UCI)

Gil Sbar Insurance/ Cofinity

Golden Rule/United Healthcare (Auth needed for CT,MRI/MRA,NUCMED EXAM)

Great West (Auth needed for CT, MR, NUCMED STRESS-thru Medsolutions)

Guardian Healthcare

Htop

Harris Corp/HealthFirst

Harris Corp/United Healthcare

Harvard Pilgrim (Auth needed for CT, MRI/MRA, NUCMED SRESS)

Harvard Pilgrim/First Seniority Freedom Premier (Medicare Replacement)

Health and Welfare

Healthease HMO/Wellcare Product (Auth needed for CT/CTA, MRI/MRA, NUCMED, OB Ultrasound)

Heritage/Summitt/Workers Comp (Auth for everything)

Humana PPO/HMO (Authorization must be verified)

Humana/MD Medicare (Auth needed for CT,MRI/MRA,NUCMEDSTRESS)

Itop

IHP

Interplan (IHG)/formally Accountable Health Plan (AHP)

Independent Health/PHCS/Medicare Replacement/Referring physician must call insurance regarding all exams

Insureres Administration corp/PHCS (Auth needed for CT, MRI/MRA)

Ktop

Kemper/Work Comp (Auth needed for everything)

Mtop

Mailhandlers/First Health) (Auth needed for CT, MRI/MRA, NUCMED STRESS)

Medical Mutual/First Health

Medicare

Medicare Advantage: (Authorization must be verified)

Medfocus/Workers Comp (Auth for everything) Provider Oaks #30580 Provider Suntree #30581

Medlink/All Rad/Workers Comp (Auth for everything)

MedSolutions

Mega Life and Health Ins company/Beechstreet

MVP-Health Plans (Auth needed for CT, MRI, NUCMED EXAMS)

Meritain Health/PHCS (Auth needed for everything)

Ntop

NALC - auth will be needed for CT/CTA., MRI/MRA, NUC MED effective 1-01-2012 through Care Allies

National Preferred Provider Network (NPPN)

NextImage Medical

NPPN/AIG Companies

Otop

One Call/Work Comp (Auth needed for everything) – Oaks Provider #FL295 and Suntree Provider #FLD9J

Opticomp/Workers Comp (Auth for everything)

Optimum Health/Medicare Replacement (Auth for MRA/NUCMED EXAMS)

Orchid Medical/Workers Comp (Auth for everything)

Oxford/United Healthcare (Authorization must be verified)

Ptop

PHCS

PHN

Preferred Care/PFFS (Medicare Replacement)

POMCO (Auth needed for CT, MRI/MRA, NUCMED EXAMS)

ProAmerica/Multiplan

Stop

SAG-Producers Health

Samba health Benefit Plan (Cigna)

School Insurance of Florida (for Brevard county School of Board students, they have to purchased this ins)

Sedgewick/Workers Comp (Auth for everything)

Self Pay (Full payment due time of service)

Secure Horizons Network (Auth needed for CT, MRI/MRA, NUC MED EXAMS)

Secure Horizons/United Healthcare (Auth needed for CT, MRI/MRA, NUC MED EXAMS)

Southcare (Medicare Supplement thru Coventry)

Spreemo Work Comp

Starbridge Choices/Beech Street/Cigna Bridge Network (Authorization must be verified)

Staywell HMO/Wellcare Product-(Auth needed for CT/CTA, MRI/MRA, NUCMED, OB Ultrasound)

Sterling Option/ Medicare Advantage Program

Summit Healthplans/NIA

Summitt/One Call/Workers Comp (Auth for everything)

Ttop

TechHealth/workers comp (Auth for everything)

Travelers/Workers Comp (Auth for everything)

Tricare – Active Duty (Auth for everything)

Tricare Prime (Auth needed for MRI/MRA)

Tricare Standard and Select

Utop

Unicare of Commonwealth Service Center (Auth needed for CT, MRI/MRA)

United American

Unicare (CCN) (Authorization must be verified

United Healthcare (Auth needed for CT, MRI/MRA, NUCMED EXAMS)

United Healthcare/Definity Health/APWU (Auth needed for CT, MRI/MRA, NUCMED EXAMS)

United Health care/Empire (Auth needed for MRI/MRA)

Universal Health Plans – (Authorization required for CTA, MRA, all Non-BPN network physicians)

US Imaging (US Imaging must schedule in order to be billed through them for discount)

USA Managed Care – (Provider #1136401)

USIS/Workers Comp (Auth for everything)

Vtop

Vista Health plans/Coventry/NIA (Medicare Advantage)

Wtop

Wellcare/Medicare – (Prov#216340) (Auth needed for CT/CTA, MRI/MRA, NUCMED, OB Ultrasound))