Pre-Certification

Some insurance companies require pre-approval for certain exams such as MRI, etc. The referring Physician may obtain the pre-certification for theses services; however it is the patient’s ultimate responsibility to obtain this approval. If the services are provided and the pre-certification was not obtained, the bill or non-pre-certification penalty will be the patient’s responsibility for payment.

Medicare

We will submit claims to Medicare. When we receive Medicare’s payment, our billing department will submit the remainder to the supplemental carrier. The Secondary insurance or supplemental billing can only be billed after the Medicare payment has been received. If you do not have supplemental insurance, you will be responsible for the balance of the Medicare approved amount.

Medicaid

Medicaid claims are submitted on behalf of the patient.

Worker’s Compensation

Charges incurred as a result of a work-related injury will be submitted to your worker’s compensation carrier. It is important to provide the necessary information at the time of registration to ensure the correct insurance company is billed. If the claim is disputed and other insurance information is not provided, the outstanding balance becomes the patient’s responsibility.

Other Insurance

We will submit claims to all insurance carriers that the patient provides information to us on. All unpaid balances from non-contracted insurance carriers will become the patient’s responsibility after 45 days. Those carriers that Evansville Radiology PC is contracted with will follow the billing guidelines established in their contracts.

Patient Responsibilities

It is expected that all patients/guarantors make a “good faith” effort to pay any balance due to Evansville Radiology PC. Our billing department will work with you to establish a reasonable payment plan for all balances that are the guarantor’s responsibility. We accept cash, check, Master Card, Visa, and Discover.

If you would like to make a payment online you can do this by visiting us at: pay.imaginepay.com/provider/ERP. This requires a LOGIN, which is located on the bottom portion of your bill.

lf you have any questions, please feel free to contact at: 812.422.6376 between 9:00 am and 3:30 pm Monday through Friday.

Delinquent Accounts

An account is considered delinquent when:

• No payment arrangements have been made within 30 days of final insurance payment or from first statement.
• There is no response to phone calls and/or letters.
• A required Financial Assistance Application form is not completed.
• All patients will receive a final notice and grace period of 10 working days to forward required payment. Disputed balances will be subject to review by Evansville Radiology PC’s management team before further collection efforts are pursued. When all efforts to collect the balance due have been exhausted, the account balance will be forwarded to Evansville Radiology PC’s attorney for collection. All legal fees will be the responsibility of the patient/guarantor.