Insurance & Billing
Princeton Radiology participates with all the insurance plans listed on this page. Some health plans require pre-certification and/or referral form. We can help you verify insurance coverage prior to your study. If insurance coverage is denied, we will work with you to establish alternate payment.
The required paper work from your health plan must be completed before a radiological examination can be completed. Please check with your provider for the details specific to your plan.
- Aetna1,2
- AmeriHealth/Keystone East
- Beechstreet
- Braven Health
- CHN
- Cigna-Great West Healthcare
- Cigna-HealthSpring (Medicare Advantage plan) – effective 4/1/21
- Cigna/Medsolutions
- Devon
- Horizon BCBS
- Horizon Omnia – Tier 1 Provider
- Humana Military / Tricare
- Independence BCBS of Pennsylvania3
- Magnacare
- Medicare
- MSLA – Veterans Insurance
- MultiPlan
- Oxford Health Plans
- PHCS
- Qualcare
- Trustmark Insurance5
- United Healthcare4
- US Family Healthplan5
- US Imaging
1 – As of March 1, 2018, Aetna will require pre-authorization for all CT, MRI and PET Scans.
2 – Exception – For all Aetna patients having services at our Mercerville location, pre-authorizations and billing will be done under the name of “Princeton Radiology at Quakerbridge”: NPI #: 1619393402, TIN #: 46-4372036
3 – For patients with Keystone Health Plan East HMO, you must obtain an out-of-cap referral if your PCP is in Pennsylvania and you choose to have your imaging services at Princeton Radiology in New Jersey.
4 – As of October 2007, United Healthcare will only cover one pregnancy ultrasound for size and dates
5 – For CT, MRI and PET modalities only through MedSolutions.
Workers’ Compensation Contracts
- Accelerated (WC)
- ACPN – America’s Choice Provider Network (MVA & WC)
- Carisk Imaging (MVA & WC)
- Coast2Coast (WC)
- Comp-X Medical (WC)
- Fellowship Radiology (WC)
- First MCO (WC)
- Genex (WC)
- MDIA Medrisk (WC)
- Medfocus (WC)
- NJ Manufacturers (WC)
- One Call Medical
- Orchid Medical (WC)
- Premier Comp Solutions (WC)
- Spreemo (WC)
- StreamlineDX (WC)
Note: Some WC carriers use PPO Networks to discount claims.
Networks we par with that WC carriers use:
BILLING INFORMATION
Business Office
619 Alexander Road, Suite 203
Princeton, New Jersey 08540
For dates of service on or after September 8, 2015 please call: 866.876.8702 (Pollux Systems,Inc)
For all other billing inquiries, please call: 732.821.4800 and leave a message, someone will return your call within 24 hrs. You can also email you inquiry to Billing@prapa.com.
