Insurance and Billing

AETNA
American Imaging Mgmt / Cigna of NNJ
American Provider Network
Amerihealth
Atlantic Imaging Group
Beech Street
Better Health Advantage
Bldg A25bj Healthcare Fund
CareCore National
CIGNA PPO / POS / HMO
Cigna / CoMED HMO / POS
Clayton & Sons
Compsource
Consumer Health Network (CHN)
Devon
Diagnostic Radiology Network (DRN)
Empire (Well Choice HMO / POS / PPO )
Family Choice Alliance
First Health
First Managed Care Option Network (First MCO)
Focus Healthcare ManagementGalaxy (formerly Managed Care Inc.)
GHI – PPO
Great West Life (part of One Health Plan)
Health Network America
Healthcare Payors Coalition Network
Local 734, Local 825, Local 1115
Healthnet
Horizon (PPO / POS / HMO / Casualty)
Horizon NJ Health
Humana / Choicecare
Jersey Med
Managed Care Alliance Network
Managed Care Inc.
Managed Care Strategies
Managed Comprehensive Care
MedFocus
Medicaid
Medicare
Metra Comp Inc
Metropark IPA
Multiplan
NJ Manufacturers (MVA and Comp)
One Call Medical
One Health Plan of NJ / Great West
Oxford Health Plans
Physicians Healthcare Systems Network (PHCS)
PPO Next
Professional Diagnostic Management
QRS Managed Care Services
Qualcare PPO (Solaris)
Railroad Medicare CA0046
Raytel Imaging Network
Solaris (JFK Health Systems)
Tricare
United Healthcare
University Health Plan
USA MCO
Well Choice / Empire

Most automobile, commercial, worker’s compensation and major insurances accepted. Edison Imaging Associates / Advanced Medical Imaging may accommodate patients on an individual basis who participate in any managed care organization not listed here. Please contact our scheduling department with any questions.

  • Edison Scheduling – 732-321-7540
  • Old Bridge Scheduling – 732-970-0420
  • Toms River Scheduling – 732-349-2867

Pre Authorization / Pre Certification

Many insurance companies require a referral and/or pre-certification (especially for CT and MRI), it is the responsibility of the patient and referring physician to obtain approval in advance in writing. Failure to obtain the required information may result in non-reimbursement or delay in treatment.

Listed below are the larger insurance companies and the third party review companies that handle their pre-certification:

CareCore National handles pre-certification for:

Aetna – 888-647-5940
Scheduling Line – 800-792-8793
(Aetna requires the patient to call the scheduling line to choose Edison Imaging Associates / Advanced Medical Imaging in addition to pre-cert)

Horizon BC of NJ – 866-496-6200
Scheduling Line – 866-969-1234
(Horizon requires the patient to call the scheduling line to choose Edison Imaging Associates / Advanced Medical Imaging in addition to pre-cert)

Oxford – 877-773-2884
Scheduling Line – 800-933-7618
(Oxford requires the patient to call the scheduling line to choose Edison Imaging Associates / Advanced Medical Imaging in addition to pre-cert)

Healthnet – 866-469-8989
Scheduling Line – 866-699-8131

United Healthcare – 800-818-8307

CareCore will attempt to assign a radiology center, however the patient has the right to choose JFK Medical Center / Advanced Medical Imaging.

If you experience any problems trying to schedule your procedure at Edison Imaging Associates or Advanced Medical Imaging please contact one of our scheduling offices as listed above.


Billing Inquiries

For billing inquiries regarding studies done prior to 5/1/12 please call: 732-566-2222

For billing inquiries regarding studies done after 5/1/12 please call: 844-274-3654

Patient charge and payment history may also be obtained on the Patient Portal located under the Services tab.

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