Billing & Insurance

At Castro Valley Open MRI, we want to assist you in coping with your financial requirements. Each health insurance company has different rules for filing claims. You may incur added expense if you fail to follow your insurer’s requirements.

For patients with insurance, you will be required to pay any co-pays or co-insurance dictated by your insurance plan at time of service. Our staff will call your insurance company to get the best estimate of what you will owe for the procedure. Please remember this is just an estimate. The final patient amount owed will be determined after your insurance company processes your claim.

Billing Questions

We have partnered with Icon Billing as our billing agency. If you have any billing questions, you may contact them directly at 510-788-6678.

Pre-Certification

Many insurance companies list special instructions on the card regarding pre-certification or prior authorization for services. These instructions may require you to contact your company before your procedure (even for an emergency procedure).

If your insurance company requires a preauthorization for your procedure, our MRI Coordinator will work with your referring physician to obtain the authorization. However, you as the patient should always ensure that the authorization if required is obtained. This will ensure the claim will be paid in a correct and timely manner.

Check your card. If it shows you must call your insurance company for authorization, please make sure that you or a member of your family phones the company without delay. Usually, you must do so within 24 hours.

Health Insurance Plans

In most cases, Castro Valley Open MRI will bill your primary health insurance company directly. If we haven’t heard from your insurer after 30-45 days, we may ask for your help in contacting them. Amounts that are denied, rejected or unpaid may become your responsibility, depending on your plan type and benefits.

Medicare

If you have Medicare, we will bill it first and then bill unpaid amounts to any supplemental insurance policies you may have. All unpaid balances may become your responsibility, depending on your plan type and benefits.

Workers’ Compensation

If the bill is related to treatment for an on-the-job injury or accident, we will file a claim with your employer’s workers’ compensation insurance carrier after authorization. Claims that are denied may ultimately become your responsibility.

Un-Insured Options

  • For your convenience, Castro Valley Open MRI accepts most forms of payment including cash, checks, Visa, MasterCard, American Express and Discover credit cards.

Cash Pay Option

(MRI scan of one area)

  • $475: MRI scan without contrast
  • $700: MRI scan with contrast
  • $725: MRI scan with and without contrast

Insurance Accepted

We are in network with over 350 providers nation-wide. The insurance providers listed below are the most common carriers. Please contact us if you do not see your insurance provider listed.

  • PPO: Aetna, Anthem Blue Cross, Blue Shield of CA, Cigna, HealthSmart, Humana, MedSolutions, Multiplan, TRICARE, and United HealthCare
  • HMO: Affinity, Alameda Alliance, and Sutter East Bay Foundation
  • Government:  Medicare and TriStar
  • Workers’ Compensation: ACS-Dept. of Labor, Coast2Coast, Corvel, Coventry, Diagnostic Village, Genex, MedFocus, MedRisk, MIS, Next Imaging, OneCall,  SCIF, Spreemo, and TechHealth
  • Lien/Med Pay: AAA, Banyan Finance LLC, KeyHealth, State Farm, SafeCo
  • Radiology Networks: TNRN