Is there a prior authorization for radiology and cardiology for WellCare?
417 20th Street North, Suite 1100. Birmingham, AL 35203. FAX: (205)933-1239. If you have questions regarding the non-contracted provider appeal process, please contact our Customer Service Department at (205) 558-7474 or 1-800-294-7780.
How is radiology billed under Medicare Part A?
Enroll in Viva Medicare Now. Medicare beneficiaries may also enroll in Viva Medicare through the Centers for Medicare & Medicaid Services Online Enrollment Center, located at http://www.medicare.gov/. For more information, contact Viva Medicare via phone at 1-888-830-VIVA (8482). 5 out of 5 Stars! Highest Star Rating for a plan in Alabama 1.
What does Viva Medicare cover?
VIVA HEALTH, Inc. 417 20th Street North, Suite 1100 Birmingham, Alabama 35203 Phone: (205) 933-1201 Fax: (205) 449-7049 VIVA HEALTH USE ONLY ☐Medicare ☐ Commercial ☐ VIVA MEDICARE Me TO BE COMPLETED BY ADMITTING PHYSICIAN: Patient Name: _____ Date of Birth: _____ Other Insurance: _____
How do I get a coverage determination form from Viva?
Oct 01, 2015 · Provider Search. Search for doctors and other providers in the Viva Medicare Provider Network below. New for 2021 – If you choose a PCP in the UAB, Medical West, or St. Vincent’s East provider systems, you are no longer limited to that network of providers. You can now visit any facility or specialist in any of those three provider systems.
Manage Your Account
The Viva Member Portal allows you to easily manage your account. Helpful features include the ability to check your mailing address, see an electronic version of your member card, request a new member card, and find Viva member services phone numbers easily.
View Your Claims
Easily view a list of your medical and prescription claims and any details you may need to know including provider, copays, coinsurance, and amount paid by your plan.
Read Explanations of Benefits
View explanations of benefits for medical claims and understand what service was provided, what charges were made, covered and not covered, and how to appeal a decision.
Does Medicare cover radiology?
Medicare covers diagnostic and radiology services, but these services must be completed or supervised by a certified radiology physician. The servicebills must be sent by physicians with certifications through organizations such as The Joint Commission, the ACR, or the Intersocietal Accreditation Commission. Both radiology and other diagnostic ...
Does Medicare cover diagnostic tests?
Diagnostic tests have coverage under Medicare Part B once a beneficiary contributes 20%, after the Medicare Part B deductible; these amounts will be sent to patients in bill form through the mail. A patient receiving a diagnostic test in an outpatient facility may be responsible for a copayment.
What is modifier 26?
In conjunction with the billing code, modifier 26 indicates a professional component bill. The technical component is the cost of the equipment and staff related to the radiology services, which also includes malpractice and practice costs.
What is a professional component?
Professional components of a service are the doctor’s diagnostic tests and associated costs. It is the doctor’s explanation of the radiology test. Anything that is a physician’s health service is sent separately to a local Medicare contractor. In conjunction with the billing code, modifier 26 indicates a professional component bill.
