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On-Site Diagnostics
FAQ
 
 
  Insurance & Billing

What insurance covers diagnostic testing?
All PPOs, solid P.I. cases on a lien, P.I. with Med-Pay and P.I.P. cases, and workers’ compensation.

What is the average turnaround time for reimbursements?
Insurance companies vary, but on the average, it is from 4 to 12 weeks.

Do the reimbursements vary for different health care professionals?
Usually not. There is a preset reimbursement allowance for diagnostic exams, and it is usually consistent for all ordering physicians. (M.D., D.C., D.O., D.P.M.)

Do we need to verify coverage to perform the tests?
Yes, in the states where pre-authorization is required, Proactive Medical Diagnostics will assist you in verifying coverage.

How am I legally entitled to be paid for the technical component of the test?
You are able to receive payments from insurance companies because you are leasing the machine and the technician for each test; therefore the machine is yours for that time. The tests are being performed on a machine you have leased, by a technician whom you have leased.

Will this count against my treatment allowance with insurance companies?
Usually not. Insurance companies typically list diagnostics under an allowance separate from treatment coverage.

What do the technical and professional components mean?
The technical component is the actual performance of the test. The professional component is the interpretation of the diagnostic test by a board-certified neurologist or radiologist, who will generate a report of findings.