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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.
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