Insurance and Billing Information

How do I know if the tests are covered?

While we take most insurances and their various plans there are plans that are under common insurances (often through the company you or a family member works for or through the health exchange) that we are not in network with. Therefore, it is likely they will only pay a portion of the amount charged, if anything, and you will be responsible for the rest. If you’re worried the test might not be covered you should call the member benefits phone number located on the back of your insurance card. If you’re unsure what to ask for please call our office and we can give you the procedure codes we use to bill with.

Another resource is your insurance carrier’s web portal. Most insurance companies have great resources on the web and you can often get assistance by setting up an online profile with your member ID. Call the member benefits number on the back of your card if you are unsure how to get onto their web portal. It is important to be certain that the test is covered because you will be responsible for the remaining balance. You may also call the insurance company and have them call our office on a three way call to verify information with both parties.  We just ask that you notify our billing manager by calling the office first to ensure she is available.

We do not take Medicaid plans from any state other than KY, as we are not in network.

You are responsible for paying your copay, deductible, or auto deposit at the time of service. If you are unsure if you have one or unable to do so please call the office in advance of your appointment.

***Note that the links provided below are not an endorsement of any insurance carrier, nor a guarantee that your specific plan is in network.  These links are intended to be used for resource purposes only.***

Insurances We Take:

• Medicare plans
  • Aetna Medicare
  • Anthem Medicare
  • Cigna Medicare
  • Humana Medicare
  • Medicare (CMS – federal plan)
  • Passport Advantage (requires PCP referral)
  • RailRoad Medicare
  • United Medicare
  • Wellcare Medicare

• Private/Exchange/Company/Govt. plans
  • Aetna
  • Anthem (prefix AMK requires referral from PCP)
  • Caresource
  • CHAMPVA
  • Cigna
  • Humana
  • Tricare/Humana Military (may require referral to our office)
    • For Life
    • Prime
    • Select
  • UMR
  • United

• Medicaid plans (KY plans only, we’re not in network with any Medicaid plans from other states):
  • Aetna Better Health of KY
  • Anthem Medicaid
  • Caresource Medicaid
  • Humana Medicaid
  • Medicaid of Kentucky
  • Passport Medicaid
  • Wellcare Medicaid

Deductible and Auto Policy

• The Neurodiagnostic Center requires a deposit — based upon a portion of your current remaining health insurance deductible amount — to be made on or before the date of service for insurance plans with known deductibles.  If you are unsure whether or not you will be required to pay a deposit on your date of service call the office as soon as possible.
• If your appointment is related to an auto claim, a $300 Auto Deposit is required unless you can provide documentation that your PIP has been exhausted. Once your PIP has been exhausted, your health insurance can be used. However, please be advised doing so may require a deductible deposit. If you are unsure if that is the case, it is best to call the office ahead of your appointment to avoid any delay on your date of service.
• If your insurance carrier determines that your test/visit was covered, the auto claim pays for your visit, you have no copay due or outstanding balance with our office, you will receive a full or partial refund in the mail in a timely manner.
• Details of these policies are discussed when your appointment is scheduled. Failure to bring your deposit without notifying our office ahead of time could result in your appointment being rescheduled.
• It is important to notify the office immediately if there have been any changes to your insurance plan(s) and/or claim status since the appointment was scheduled.

Please call our office at (502) 708-1338 if you have any questions regarding your health insurance deductible or auto deposit after reading the paperwork.

What if I don’t have insurance?

Please call the office to find out what options we have available for those who do not have or are losing their insurance and ask for the billing department. If the visit is possibly related to a worker’s compensation, automobile, and/or personal injury claim please notify the office as soon as possible. We must have approval for the test(s) prior to your appointment.

Filling Out Registration Forms

• We require that your guarantor’s name and date of birth be written under the insurance information section.  If you are the not the guarantor and you have Tricare we will also need the guarantor’s social security number.
• If the information given on the registration forms is different than what was confirmed with us over the phone when making your appointment please let us know as soon as possible to ensure we have your most recent information on file.
• If your status changes, such as going from a health insurance billed visit to a workman’s comp, personal injury, or auto claim billed visit, you must note it on your paperwork and inform our billing department as soon as possible to avoid any delay of your appointment on the date of service.
• Please be sure to double-check any worker’s comp. claim information such as claim number, date of injury, and firm/adjuster assigned to the claim, as it can affect whether or not the claim is paid.  If there has been a change to your adjustor or workman’s comp firm please let us know as soon as possible, as there have been instances in the past where a previously authorized EMG was changed to unauthorized by the new firm/adjuster without our knowledge.  

If you do not understand something on your registration forms regarding payment, billing, or deposits please call the office as soon as possible.