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.

• Aetna US Healthcare^1,2
• AmeriHealth/Keystone East
• Beechstreet
• CHN
• Cigna
• Clover Medicare PPO
• Devon
• Great West Healthcare
• Horizon BCBS
• Horizon Omnia – Tier 1
• Independence BCBS of Pennsylvania³
• Magnacare
• Medicare
• MSLA – Veterans Insurance
• MultiPlan
• Oxford Health Plans
• PHCS
• Qualcare (including Oscar and GHI)
• Tricare/Champus
• United Healthcare⁴
• 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 and Lawrenceville locations, 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

Workers’ Compensation Contracts

• Accelerated
• ACPN – America’s Choice Provider Network
• AIG – Atlantic Imaging Group (MVA & WC)
• Coast2Coast (WC)
• Fellowship Radiology (WC)
• MDIA Medrisk (WC)
• Medfocus (WC)
• NJ Manufacturers (WC)
• One Call Medical
• Premier Comp Solutions (WC)
• Spreemo (WC)

Note: Some WC carriers use PPO Networks to discount claims.

Networks we par with that WC carriers use:

• CHN
• Magnacare
• QualCare

BILLING INFORMATION

Billing Office
3674 Route 27
Kendall Park, New Jersey 08824

For dates of service on or after September 8, 2015 please call: 800.467.2392 (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.