| |
Affinity (formerly Genesis) |
| |
AmeriHealth TPA, HMO, POS
(precert. AIM) |
| |
1199 Home Health Care |
| |
1199 National Benefits Fund
(precert. MedFocus) |
| |
Aetna/U.S. HealthCare (precert CareCore)* |
| |
American Postal Workers Union
(precert. MedSolutions) |
| |
Anthem Health |
| |
BCE Emergis |
| |
BeechStreet |
| |
CareCore National LLC
 Aetna HMO
GHI and GHI HMO
HIP not SIMG HIP members
Oxford |
| |
CarePlus - CHP, FHP |
| |
CCN (Community Care Network) |
| |
CenterCare |
| |
Choice Care Network
Humana (C.C. Network logo only)
Meridian (C.C. Network logo only) |
| |
CHN (Consumer Health Network) |
| |
Cigna
HMO (precert. AIM)
POS, Direct POS & PPO
(precert. Cigna) |
| |
D.O.D. - MRIs, MRAs only |
| |
ElderPlan |
| |
Empire Blue Cross/Blue Shield
(precert. NIA)
Blue Card with suitcase only
Blue Choice Senior Plan
Child Health Plus
HMO
EPO, PPO, Indemnity
FEP
32 BJ |
| |
Empire Plan (see United Healthcare) |
| |
Fidelis Care - CHP, FHP |
| |
First Health |
| |
GEHA (precert. MedSolutions) |
| |
GHI (precert. CareCore) |
| |
GHI - HMO (precert. CareCore) |
| |
Great-West (pre-auths. Med Solutions)
New England Financial
Alta
One Health Plan of New York |
| |
Guardian (PHCS) |
| |
Health Care Compare/First Health |
| |
Health Care Partners (Heritage)
HIP, Elderplan - follow HCP rules if
HCP PCP
Healthnet Smartchoice Senior Plan
Health Net (PHS) (precert. CareCore)
HMO
PPO
Smartchoice Senior Plan precert with:
Healthcare Partners, IPA PCP
driven
Touchstone Health Partnership,
IPA PCP driven |
| |
Health Plus - CHP, FHP |
| |
HIP - Check card for logo (precert. CareCore)**
Child Health Plus
HIP HMO
HIP Medicaid
HIP VIP
Access and Select plans
SIMG HIP MRI/MRA, CT, stress.
Need SIMG referral, not regular
HIP referral. |
|
| Horizon Health Care of New Jersey |
| Horizon Health Care of New York (precert NIA) |
Humana - Not all logos accepted
Choice Care Network logo
First Health Logo |
| Independent Review Services |
| Magnacare/MagnaHealth/MagnaComp |
| MasterCare |
| MedFocus (1199, W/C) |
| Medicare |
MedSolutions
Great West, GEHA, APWUHP |
| MetraComp |
| Multiplan (precerts vary; must call) |
| National Health Plan |
NPPN (National Preferred Provider
Network) |
| New York Fire Department |
| New York State Disability |
New York Network Management, LLC
CHN Consumer Health Network
CCN Workers Comp
Devon
First Health/Affordable
UP & UP |
New York Servitas, IPA
Benefice Health Plan |
| New York State No Fault |
| New York State Workers Comp |
| One Call Medical |
| One Health Plan (See Great-West) |
Oxford (precert. CareCore)
Oxford Medicare |
PHCS (Physicians Health Care
Service)
Guardian |
| PHS (now Health Net) |
| Qualcare |
Railroad Medicare (see United
Healthcare) |
| Selectpro |
| TRICARE/Healthnet Federal |
Uniformed Services Family Health Plan (USFHP)
Radiation Therapy
CT for Radiation Therapy
DEXAs, MRI, MRA,
Speech evaluation GI series |
United Healthcare
Child/Family Health Plus
Empire Plan
MetraHealth
Railroad Medicare |
UP & UP (United Payors/United
Providers) |
| Wellcare (GHI HMO) |
| Workers Comp |
| |
|
* Aetna - Certain 70,000 CPT Series involve non-70,000 component codes - these require a referral.  Back
** HIP - For referrals use Prov #M4247P - 360 Bard Site. Back |
|
