FAQ's

ARS will provide your practice:

• Low cost to the doctor
• A toll-free number for inquiries
• A reading on all films sent
• A formal written interpretation
• A return of films to your office with the interpretation

ARS asks you to provide:

• A completed information / history form on each patient
• A completed X-Ray Assignment Agreement for each patient
• All your patient films (including retakes) so that we can assure your office full coverage

Special Considerations:

• Films should be less than three months old
• Films over 6 months will not be read

We need the same information you do:

• All patients must sign an X-Ray Assignment Agreement
• A patient history must be completed on each patient
• We must receive both of these with each case.

All insurance information

• We bill many insurances, including PI attorneys, and Workers’ Compensation
• Whenever possible, copies of insurance cards
• Insurance company / attorney’s telephone numbers
• An original (signed) claim form, if required by the insurance company

When patient has regular health insurance, we need:

• Patient’s name / address
• Insurance company’s name / address / telephone number
• Insured’s name / social security number / relationship to patient
• Group number and employer
• Secondary insurance information, if applicable
• Copy of insurance cards, if available
• An original claim form if applicable
• When sending follow-up films or retakes, please send complete billing information (insurance situation may have changed) and a copy of the last interpretation (previous x-ray’s need not be sent)
• If there is ever a change in patient information, we ask that you inform us, so that we can update our records
• If insurance does not pay for services, still please send billing information for filing our “denial”
• Please provide insurance information on patients who file their own insurance, so that we can provide them with a bill to file with their insurance company.

In personal injury cases we need:

• Patient’s name / address
• Insured’s name
• Insured’s insurance company / address / telephone number
• Claim number
• Policy number
• Patient’s attorney’s name / address / telephone number
• Date of injury
• Adjuster’s name and telephone number
• Regular health insurance information

In Worker’s Compensation cases we need:

• Patient’s name /address
• Employer / address / telephone number (especially if self-insured)
• Social security number
• Date of injury
• Claim number
• ICD 9 Code for allowed condition
• Regular health insurance information

In all cases, please submit patient’s regular insurance information, including secondary or supplemental. (This will expedite processing and eliminate problems with filing deadlines.)

In cash patient cases we need:

• Patient’s name /address
• Social security number
• Birth date

Leave patient films in their own jackets:

• Inside each jacket / place:
  • Information / history form
  • X-ray Assignment Agreement and Insurance information
  • Place jackets into ARS shipping box.
  • Seal with plenty of shipping tape (supplied by our office)

You will:

• Receive a pre-paid label with every shipment
• Adhere label to package and keep receipt

You may:

• Give your package to any UPS driver
• Give your package to a nearby location that has UPS, or
• Drop off your package at any UPS location