INSURANCE

Summit Radiology Services participates in most all insurance plans. The list below of insurance plans we presently participate with is updated often, however we cannot guarantee the accuracy as insurance status changes frequently. If you have any questions about your insurance plan’s participation, please call our billing and insurance personnel at 770-607-7339.

  • AETNA HMO / PPO
  • ALLIANT
  • BCBS HMO
  • BCBS PPO
  • CCN
  • CIGNA HMO
  • CIGNA PPO
  • COVENTRY HMO
  • FIRST HEALTH
  • EMPLOYERS HEALTH NETWORK
  • FIRST MEDICAL NETWORK / GA 1ST
  • HEALTH ONE ALLIANCE
  • HEALTHSTAR PPO
  • HUMANA HMO
  • HUMANA PPO
  • LIFEWELL EPO
  • LIFEWELL PPO
  • >MEDICAID / AMERIGROUP / PEACHSTATE / WELLCARE
  • MEDICARE
  • MOST MEDICARE REPLACEMENT HMO’s
  • MEDICARE RAILROAD
  • MULTIPLAN UNITED HEALTHCARE
  • WORKERS COMP

ONLINE PAYMENT

Please use our safe and secure online payment system.
You will need Code ID and Access Number provided on your statement.
[ Click here to Pay Online ]

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FORMS

Forms vary greatly at each of the facilities we serve. Please contact the facility you will be seen at for forms needed prior to your visit.

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FINANCIAL ASSISTANCE

Financial Assistance for Summit Radiology Services bills is available to those who qualify with proper documentation for bills over $100 (one hundred dollars). Summit Radiology Services bills separately as stated at each location.
If you need financial assistance please fill out the form below COMPLETELY. Incomplete forms will NOT be processed. Please submit copies of all required documents for the application to be considered. (Do NOT mail originals as they will not be returned to you).

The application must be mailed to the address on the form. Incomplete applications and/or applications missing required documents will not be considered and the file will be closed with no further review. You may reapply one time with a completed application and all documentation.

You may send the application via certified mail if you would like proof of delivery. To find out if you are approved for financial assistance, you will need to call our office at 770-607-7339 thirty (30) days after mailing the application. (Please do not call until 30 days has passed as it takes a minimum of four weeks to process.)

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PRIVACY

Summit Radiology Services follows HIPAA privacy rules and guidelines strictly for the safety and privacy of our patients.

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