Billing & Payment Information
Each visit for medical imaging is billed separately. You may receive a bill directly from your radiologist, separate from the facility where the imaging procedure was performed. Separate billing makes insurance claims and payments easily accountable. Accounts can be combined for your convenience by calling our billing office at (615) 312-0600.
We accept payments by cash, check (personal and/or insurance), money order and VISA/MasterCard. Please, for your protection, do not send cash in the mail. Even if your insurance is a PPO (Preferred Provider Organization) or an HMO (Health Maintenance Organization) there may still be co-pays, co-insurance and/or deductibles owed. You will be sent a billing statement from our office. We ask that you be prompt in payment of any amount owed.
Your monthly billing statement will notify you of the services rendered, any payments we have received from your insurance company, any problems we have encountered in attempting to collect for our services from your insurance carrier and finally, the amount you owe. We do utilize outside collection companies when necessary to collect overdue amounts. If you are experiencing financial hardships, please call our billing office to discuss these issues.
Radiology Alliance, PC welcomes you as a patient. Our physicians are committed to quality patient care. Our billing staff is here to make every effort to assist you in filing and collecting your healthcare benefits. We work extensively with insurance companies to assure that you receive the maximum reimbursement as defined by your plan coverage. To avoid any problems and to expedite the process, we ask that you make every effort to notify us immediately of any changes or corrections in your insurance coverage or carrier status. If you are experiencing any difficulties with your benefits or insurance carrier, we suggest you contact your employer's personnel or human resource department, your insurance agent or your insurance carrier. You may also express concerns or complaints regarding your benefits or insurance carrier to the Consumer Insurance Services Division of the Tennessee Department of Commerce & Insurance. Consumer Insurance Services can be reached by calling (615) 741-2218 or (800) 342-4029
Download Patient Forms
Before your appointment with us, quickly and conveniently access patient forms from our practice.
To view the forms listed below, you will need Adobe Reader. You may download Adobe Reader for free at www.adobe.com. Please bring your completed forms with you to our office at the time of your visit.