Insurance Plans Accepted

Consultants in Radiology, P.A. is a provider of radiology services in the following plans. We bill your insurance as a courtesy. You will be responsible for any applicable co-payments, co-insurance, deductibles or any other expenses your insurance doesn’t pay.

PLEASE NOTE: In your reference manuals for participating facilities, Consultants in Radiology, P.A. may be listed under practice name and/or radiologist’s names.

Aetna – PPO/HMO/POS; Medicaid; TRS Beech Street PPO Blue Cross Blue Shield: Blue Choice; FedSelect; Health Select; HMO Blue Texas; HMO Blue NE Texas CAPP Care PPO/WC/Auto Medical C.A.R.E – Railroad Employees Children’s Health Insurance Program (CHIP) Choice Care/Humana PPO Cigna: All Products First Health/CCN Focus Healthcare Management Galaxy Health Network Great West Healthcare Health Smart/North Texas Healthcare Humana Military: Champus,Foundation Health, Tricare		Interplan Health Group - Accountable Medicaid: Aetna; Amerigroup; HMO Blue; Metro West Medicare/Railroad Medicare Multiplan Mutual of Omaha National Preferred Provider Network One Health Plan of Texas Pacificare/Secure Horizons PPO Next Private Healthcare Systems, Ltd. (PHCS) ProNet Texas True Choice Unicare PPO/POS United Healthcare HMO/PPO USA Managed Care Worker’s Comp

Notice of Privacy Statement

This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please read carefully!

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How we may use and disclose information about you
We may use and disclose personal and identifiable health information about you in different ways. All of the ways in which we may use and disclose information will fall within one of the following categories, but not every use or disclosure in a category will be listed.

For Treatment: We will use your health information to furnish services and supplies to you, in accordance with our policies and procedures. For example, we will use your medical history to assess your health and perform requested diagnostic services. We will also make the results of the procedures available in your medical record to all health professionals who may provide treatment.

For Payment: We will use and disclose your health information to bill for our services and to collect payment from you, your insurance company, or from other sources that you may use to pay for services or a collection agency. For example, we may need to give a payer information about your current medical condition so that it will pay us for the services that we have performed for you. We may also need to inform your payer of the tests that you are going to receive in order to obtain prior approval or to determine whether the service is covered.

For Health Care Operations: We may use and disclose your health information for the general operation of our business. For example, we sometimes arrange for accreditation organizations, auditors or other consultants to review our practice, evaluate our operations, and tell us how to improve our services.

Public Policy Uses and Disclosures: There are a number of public policy reasons why we may disclose information about you.

When Required by Law: We may disclose your health information when we are required to do so by federal, state, or local law.

Our Business Associates: We sometimes work with outside individuals and businesses who help us operate our business successfully. We may disclose your health information to these business associates so that they can perform the tasks that we hire them to do. Our business associates must guarantee to us that they will respect the confidentiality of your personal and identifiable health information.

Appointment Reminders: We may use and disclose medical information to contact you as a reminder that you have an appointment or that you should schedule an appointment.

Treatment Alternatives: We may use and disclose your personal health information in order to tell you about or recommend possible treatment options, alternatives or health-related services that may be of interest to you.

Other Uses and Disclosures of Personal Information: We are required to obtain written authorization from you for any other uses and disclosures of medical information other than those described above. If you provide us with such permission, you may revoke that permission, in writing, at any time. If you revoke your permission, we will no longer use or disclose personal information about you for the reasons covered by your written authorization. We will be unable to take back any disclosures already made based upon your original permission.

Individual Rights: You have the right to ask for restrictions on the ways in which we use and disclose your medical information beyond those imposed by law. We will consider your request, but we are not required to accept it.

You have the right to request that you receive communications containing your protected health information from us by alternative means or at alternative locations. For example, you may ask that we only contact you at home or by mail.

Except under certain circumstances, you have the right to inspect and copy medical and billing records about you. If you ask for copies of this information, we may charge you a fee for copying and mailing.