Insurance & Billing
Insurance & Billing | CPT Codes

Cardiology Consultants, PA and Cardiac Diagnostic Center participate with every insurance in the state of Delaware. Listed below is a list of our participation agreements and rules regarding referrals and pre-certs to assist your staff when using our services.

 To Schedule Physician Office Visits - call:

New Castle County

(302) 366-1929 -- Press 4 -- Press 2

Kent County (302) 672-4600 -- Press 4 -- Press 1
Sussex County

(302) 422-6050 -- Press 4 -- Press 1

(302) 645-1233 -- Press 4 -- Press 1

 

 Insurance & Billing Questions - call:

New Castle County

(302) 366-1929 -- Press 6

Kent County (302) 672-4600 -- Press 6
Sussex County

(302) 422-6050 -- Press 6

(302) 645-1233 -- Press 6

Aetna HMO – Pre-Cert for nuclear studies(78452) required, contact Medsolutions at www.medsolutionsonline.com          or 1-888-693-3211

Aetna Medicare – Pre-Cert for nuclear studies(78452) required, contact Medsolutions at www.medsolutionsonline.com or 1-888-693-3211

Aetna – All other plans – Pre-Cert for nuclear studies(78452) required, contact Medsolutions at www.medsolutionsonline.com or 1-888-693-3211

AmeriHealth HMO – AIM Pre-Cert for nuclear studies (78452) required

AmeriHealth Medicare– AIM Pre-Cert for nuclear studies (78452) required

AmeriHealth PPO– AIM Pre-Cert for nuclear studies (78452) required

AmeriHealth Administrators – AIM Pre-Cert for nuclear studies (78452) required

Independence Blue Cross – Pre-Cert for nuclear studies(78452) required, contact Medsolutions at www.medsolutionsonline.com or 1-888-693-3211

Blue Cross of Delaware – Pre-Cert for nuclear studies(78452) required, contact Medsolutions at www.medsolutionsonline.com or 1-888-693-3211

BeechStreet PPO – no referral

Blue Cross of Maryland – All Products (PPO,Carefirst) – No referral

Coventry /All Products  - Pre-Cert required for nuclear studies (78452) Pre-Cert # 1-800-727-3351 option 6

Cigna – No referral

Accordia/Perdue – Referral required

Devon PPO – No referral

Delaware Phys Care – No referral

Diamond State Partners –No referral

First Health – No referral

Healthnet-  Referral required

Keystone Health Plan – Referral required

MAMSI Optimum Choice – Referral required

Medicaid – no referral

MultiPlan PPO – No referral

PHCS – No referral

PMG Select – No referral

Medicare Part B- No referral

Railroad Medicare – No referral

Oxford – Pre-Cert Required

Sterling – No referral required

United Healthcare – Pre-Cert for nuclear studies (78452)
Pre Cert # 1-877-842-3210

UMWA –No referral

Medicare Complete – no referral

Medicare Managed Care – Check card for referral rules

Unison Healthcare of DE – Pre-Cert for nuclear studies(78452) Pre Cert # 1-800-366-7304

Bravo Elder Health/Liberty Plan – Pre-Cert for nuclear studies(78452) required

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