Billing & Insurance
If you have any billing, insurance and payment inquiries for any service, please contact The Management Services Network at 1-800-841-4236. Secure online payments may be made at the Management Services Network website. If you have any inquiries for service performed before August 1, 2011, please contact Michella Connolly at 301-581-7165 or email mconnolly@gcmradiology.com
GCM accepts most major insurances. Insurance carrier requirements are dynamic and change frequently. Often, benefits depend on the plan that you or your employer has chosen. Pre-authorization of some radiology procedures, usually CT/CTA scans, MRI/MRA scans and PET/CT has become standard procedure for some insurance carriers. Insurance carriers might provide the pre-authorization directly, or use a third party utilization management company to provide the authorization.
Please remember the best source of information is the number on your insurance card. Please have it available when you call to schedule your appointment. Our highly trained staff will work with you, your referring physician and your insurance carrier to obtain any required pre-authorization. If you do not see your insurance carrier listed, please call our offices and we will contact your insurance carrier to verify our eligibility to provide you service.
Insurance Participation
| Company | Plan Type | Pre-Certification Requirements | Phone | Web Site |
| Aetna | HMO | Required for CT, MR & PET/CT; required for HSG with infertility diagnosis | 888-693-3211 | https://www.medsolutionsonline.com |
| Aetna | PPO, POS, Medicare Advantage | Dependent on employer group and plan coverage; some groups require pre-certification for CT, MR and PET/CT | 888-693-3211 | https://www.medsolutionsonline.com |
| AmeriChoice (UHC Community Plan) | MCO | Required for MR and PET/CT | 800-318-8821 | http://www.americhoice.com |
| Anthem | Indemnity | Required for CT, MR & PET/CT | 800-533-1120 | http://anthem.com |
| Blue Cross Blue Shield (out of state plans) | HMO, PPO, POS | Dependent on employer group and plan coverage; some groups require pre-certification for CT, MR and PET/CT | call number on card | http://www.bcbs.com |
| CareFirst | Indemnity, HMO, POS, PPO, Blue Choice, Blue Preferred | All studies subject to CareFirst Medical Policy, pre-certification is not currently required | 888-567-9155 | https://member.carefirst.com |
| Cigna | HMO, PPO, POS | Dependent on employer group and plan coverage; some groups require pre-certification for CT, MR and PET/CT | 888-693-3211 | https://www.medsolutionsonline.com |
| Coventry | PPO | Dependent on employer group and plan coverage; some groups require pre-certification for CT, MR and PET/CT | call number on card | www.coventryhealthcare.com |
| GEHA | PPO | Required for CT, MR & PET/CT | 888-693-3211 | https://www.medsolutionsonline.com |
| Johns Hopkins Healthcare | EHP, Priority Partners, US Family Health | Required for bone density (DEXA), Breast MRI & PET/CT | 888-495-4998 | www.hopkinsmedicine.org/johns_hopkins_healthcare |
| MAMSI Life & Health | PPO | Required for PET/CT with non cancer diagnosis; required for HSG with infertility diagnosis | 877-842-3210 | www.myuhc.com |
| MDIPA & Optimum Choice | HMO | For DC office insurance card must have "RAD=DC"; CT & MR studies require pre-certification; MR studies can be seen in all offices and require pre-certification; Breast Biopsy and PET/CT can be seen in Bethesda office; PET/CT requires pre-certification with a non cancer diagnosis | 877-842-3210 | www.myuhc.com |
| MDIPA & Optimum Choice | Preferred | CT, MR and PET/CT with a non cancer diagnosis require pre-certification | 877-842-3210 | www.myuhc.com |
| Medicaid | Government | Some plans require pre-certification for CT, MR and PET/CT; refer to plan phone number and/or web site on card | call number on card | |
| Medicare | Government | Not required | 800-633-4227 | |
| Medicare Advantage Plans | HMO, PPO, POS | Plans generally follow Medicare guidelines; check your plan benefits for additional information; refer to plan phone number and/or web site on card | call number on card | |
| Multiplan | PPO | Dependent on employer group and plan coverage; some groups require pre-certification for CT, MR and PET/CT; refer to plan phone number on back of card | call number on card | www.multiplan.com/patients |
| Onenet PPO | PPO | Dependent on employer group and plan coverage; some groups require pre-certification for CT, MR and PET/CT; refer to plan phone number on back of card | 800-342-3289 | www.onenetppo.com/participants |
| Tricare/ Health Net Federal Services | Government | Not required | 877-874-2273 | www.tricare.mil |
| United Healthcare | HMO, PPO, POS | United calls this process "Radiology Notification"; pre-certification may be required for CT, MR & PET/CT studies; some employer groups are excluded, refer to specific plan benefits for more details | 866-633-2446 | www.myuhc.com |