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Insurance


Wake Radiology UNC REX is in-network with major insurance plans, including UnitedHealthcare. This means that our patients can access affordable, high-quality imaging services that meet the highest accreditation standards without worrying about excessive out-of-pocket expenses. 

We never charge hospital or facility fees. Our patients receive affordable, quality outpatient imaging that meets the highest safety and accreditation standards.

In-Network Insurance Plans

Insurance Plans
  • Aetna / Aetna Conventry: Not part of the Duke Select and Duke Basic Network. Members in these networks do not have out-of-network benefits.
  • BlueCross BlueShield of North Carolina (BCBSNC) including but not limited to: Blue Advantage, Blue Care, Blue Options, Blue Select, Blue Value/Blue Value with UNC HA, Classic Blue and North Carolina State Health Plan, BCBS Blue Home with UNC Health Alliance
  • BlueCross BlueShield in state, outside of North Carolina
  • Cigna Health Care / GWH-Cigna: Not part of the Cigna Connect Network. Members in this network do not have out-of-network benefits.
  • UnitedHealthcare –
    • All Savers
    • Community Plan
    • Neighborhood Health Partnership
    • OneNet PPO
    • OptumHealth
    • Oxford Health Plans
    • UMR
    • UnitedHealthcareOne
    • United Healthcare Services Company of the River Valley

 

Military / Government Plans
  • CHAMPVA
  • Tricare (non-Prime plans): Non-network participating provider
  • Tricare Prime: Non-network participating provider. Member is responsible for obtaining prime referral to reduce their out-of-pocket expense
  • Tricare for Life (secondary to Medicare): Non-network participating provider
  • Veteran Administration (VA): Proper VA referral required
Medicaid
  • Medicaid of North Carolina
Medicare
  • Medicare Part B
Medicare Part B Supplement Plans
  • All Medicare Part B supplements
Medicare Part C (Medicare Advantage / Replacement)
  • All Private Fee for Service (PFFS) plans accepted
  • Aetna Medicare Advantage: Not part of the Prime HMO and QHP networks. Members in these networks do not have out-of-network benefits
  • Blue Medicare
  • First Carolina Care Insurance Company: First Medicare Direct Smart HMO & Preferred Plus, including Alignment Health
  • Humana Medicare: HMO / PPO, including Alignment Healthcare
  • United Healthcare Medicare Solutions

Insurance Resources

Pre-Authorization for Advanced Imaging
Many advanced diagnostic imaging exams – like MRIs and CT scans – require pre-authorization from the patient’s insurance carrier. It is the ordering provider/physician’s responsibility to obtain the pre-authorization.  
Radiology Steerage:
The insurance authorization process can be administered by the insurer or a third-party radiology benefit management company, like eviCoreThird-party authorization companies frequently steer imaging studies to low-cost imaging providers and do not take quality into consideration
Payment Options & Financial Assistance

Wake Radiology offers multiple options to help patients pay for medical imaging.

  • Interest free, extended payment programs with monthly schedules and automatic drafts
  • Prompt pay discounts for patients who pay in full at the time of service
  • Contact our Billing Department if you or your patients have fee or billing questions.
Contact Our Billing Team

The Wake Radiology billing team is available Monday – Friday from 7:30am – 5:00pm to answer insurance and billing questions.

  • Phone: 800-675-2232 or 919-787-8221
  • Fax: 919-881-2079
  • Mailing Address: PO Box 19368, Raleigh, NC 27619-9368