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Did You Know?

Wake Radiology is committed to low-dose.

low-dose-imagingOur commitment to low-dose imaging and to eliminating unnecessary or duplicate exams helps Wake Radiology improve patient outcomes and reduce the overall cost of healthcare.

Learn more about our low-dose commitment

Badges of Honor

Wake Radiology is proud to have received the highest accreditations possible from the American College of Radiology (ACR).

Learn more about our accreditations!

 Managed Care and Insurance Information

Wake Radiology is a participating provider for most major managed care insurance plans. We provide imaging services and file claims on behalf of all patients, including those with out-of-network insurance plans where a higher cost share may apply. For questions about our managed care contracts, please contact our business office.
 
  • Wake Radiology now accepts TRICARE military coverage for all clinical services. Previously, Wake Radiology accepted TRICARE for only breast-related imaging. As of February 1, 2012, we accept and file TRICARE plans – both primary and secondary – for all radiology services.
  • Wake Radiology accepts workers’ compensation cases and files claims to all carriers. We accept workers’ compensation cases, file claims to all carriers and honor the North Carolina Industrial Commission (NCIC) fee schedule for workers’ compensation. Although we do not participate with workers’ compensation brokering/3rd party networks (e.g., OneCall Medical, Corvel and DiaTri), most workers’ compensation insurance carriers authorize imaging services when Wake Radiology is a referring provider’s preference. Of note, we interact with workers’ compensation carriers to confirm NCIC rates and obtain authorization for service.
  • Financial assistance. Wake Radiology recognizes that some patients do not have insurance and/or require financial assistance. We offer payment plans to ease their cash flow burden or prompt payment discounts to lower their out-of-pocket costs.

Wake Radiology Outpatient Imaging: Managed Care List

button-download Download our managed care list
Insurance Carrier / Payor
Exclusions / Special Notes
MANAGED CARE PLANS
Aetna Not part of the Duke Select and Duke Basic Network. Members in these networks do not have out-of-network benefits.
BlueCross BlueShield of North Carolina (BCBSNC) including but not limited to Blue Advantage, Blue Options, Blue Select & Blue Options Not part of the Blue Local network.
North Carolina State Health Plan (administered by BCBSNC)
BlueCross BlueShield in states outside of North Carolina
Cigna HealthCare (see also GW Cigna)Not part of the Cigna Connect network. Members in this network do not have out-of-network- benefits.
Coventry Health Care of the Carolinas (formerly WellPath)
Coventry National
GW Cigna (formerly Great West Healthcare)
NON-PAYOR NETWORK PROGRAMS & PPOS
Healthgram (formerly Primary PhysicianCare)
MedCost
Three Rivers Provider Network (TRPN)
MILITARY / GOVERNMENT PLANS
CHAMPVA
Tricare (non-Prime plans)Non-network participating provider.
Tricare PrimeNon-network participating provider. Member is responsible for obtaining prime referral to reduce their out-of-pocket expense.
Tricare for Life (secondary to Medicare)Non-network participating provider.
Veteran Administration (VA)Proper VA referral required.
MEDICARE / MEDICAID
Medicare Part B
Medicaid of North Carolina
MEDICARE PART B SUPPLEMENT PLANS
All Medicare Part B supplement plans accepted
MEDICARE PART C (MEDICARE ADVANTAGE / REPLACEMENT)
All Private Fee for Service (PFFS) plans accepted
Aetna Medicare AdvantageNot part of the Prime HMO and QHP networks. Members in these networks do not have out-of-network benefits.
Blue Medicare
Coventry Advantra
United Healthcare Medicare Solutions for NC state government retirees onlyNC state government retirees with United Healthcare Medicare have in-network benefits at Wake Radiology because the state negotiated a special arrangement for patients who switch from BCBS to United Healthcare Medicare plan. The carrier has agreed to treat in-network and out-of-network providers the same way with no financial penalty to the patient.
  

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