We, in the Gainesville Radiology Group business office, are committed to providing you with the best service, continuing the line of quality which begins with your imaging exam. Our billing office is available for questions from 9am to 4pm, Monday through Friday. For your convenience we have an answering machine so you may leave messages after business hours. A staff person will respond to your message the next day.
As a service to our patients, Gainesville Radiology Group files all primary and secondary insurance claims. To expedite claims processing, we file approximately 85% of all claims electronically. In addition, we receive Medicare, Medicaid, United Healthcare, and BlueCross BlueShield of Georgia payments and EOBs electronically.
Q: Will my insurance cover my imaging test or procedure?
A: Your insurance coverage is based on criteria outlined in your insurance plan coverage document. It is best to check with your insurance company if you are unsure about whether they will cover the test. Even if your insurance plan covers the test, you will be responsible for any co-payment, co-insurance, or deductible amount specified by your insurance plan.
Q: Will I have an out-of-pocket expense for my imaging test or procedure?
A: The amount an insurance company pays for a test is dependent upon the co-pay, co-insurance, and any deductible amounts that need to be satisfied. It is best to check with your insurance company to determine what your out-of-pocket expense will be on your procedure.
Q: What is a Co-payment, Co-insurance, and Deductible?
A: A Co-payment (Co-pay) is a fixed dollar amount that patients pay for physician office visits, prescriptions or hospital services. Co-insurance is a defined percentage of the charges for services rendered. A deductible is the amount of eligible expense a person must pay each year from his/her own pocket before the insurance plan will make payment for eligible benefits.
Q: Does Gainesville Radiology Group participate with my insurance plan?
A: Gainesville Radiology Group is a preferred provider with over 20 insurance plans. Please check with your insurance provider and/or our facility when scheduling appointments to ensure that your procedure will be covered under your plan. See the “Insurance Plans” page of our site for a complete list of insurance plans accepted by Gainesville Radiology Group. If you do not see your provider, please contact our office.
Q: Will I get a separate bill from Gainesville Radiology Group?
A: If your procedure was performed at any of the facilities we serve, you may receive two bills: one from the facility (hospital, imaging center or clinic) where you had your exam, and one from Gainesville Radiology Group for the interpretation of the procedure by one of our radiologists. It is possible that you did not see the radiologist at the time of your exam. However, once the studies were made, the radiologist interpreted the studies, dictated the results and a copy was sent to your attending and/or referring physicians. When needed, the radiologist also consults personally with your physician.
Q: Do I need an insurance authorization for my procedure?
A: Several insurance plans require pre-authorization for some types of Radiology tests, typically MRI, CT, PET Scans, and Interventional Radiology procedures. Usually it is the responsibility of your referring physician to contact your insurance plan, provide information to obtain the necessary authorization and provide the authorization number to Gainesville Radiology Group, or the facility where your exam will be performed.