What is Chiropractic Radiology?
Diagnostic imaging, most typically radiography (x-rays), has been an important part of the practice of chiropractic for nearly a century. Today, x-rays have become an invaluable tool for physicians in all fields, to diagnose and treat patients. Indeed, the practice of radiology has evolved into a respected specialty all its own, dedicated to the singular goal of reading and interpreting diagnostic images for the purpose of increasing diagnostic accuracy – ultimately providing superior patient care. Each of the chiropractic radiologists at ARS has completed a rigorous three-year residency, following chiropractic school, dedicated exclusively to radiology, at the end of which he was awarded the title of Diplomate of the American Chiropractic Board of Radiology (DACBR). In addition to the classroom study, our radiologists also participated in training on a clinical level, as well as teaching of chiropractic students. While many chiropractors rather innocently argue that they are trained to read films, the simple fact of the matter is that they are not schooled in every nuance of diagnostic imaging so as to detect all pathology or abnormality. In fact, radiologists uncover subtleties, on a daily basis, which chiropractors have not detected.
Why should I utilize Chiropractic Radiology in my practice?
While the benefits of chiropractic radiology could easily fill many pages, the mention of only two will demonstrate why your practice can benefit from chiropractic radiology. #1 – Your patients will be the primary beneficiaries of chiropractic radiology, through increased diagnostic accuracy. Instead of worrying whether you may have missed something on a film, you can instead rely on an expert to read and interpret films for you, assuring each patient superior quality of care. #2 – As a secondary benefit, because you share responsibility for patient diagnosis with an expert in chiropractic radiology, chances of misdiagnosis are greatly decreased. And, while most doctors don’t care to discuss the topic of malpractice, the reality of health care practices today is that many people, including your patients, are litigious, and malpractice prevention should never be far from your mind. Whether you choose to utilize chiropractic radiology for these reasons, or for any countless others, the bottom line is all the same, improved patient care.
Why should I choose ARS to read my films?

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
Who are your Radiologists?
ARS currently utilizes the services of one chiropractic physician on whom has been conferred the title, Diplomate of the American Chiropractic Board of Radiology (DACBR). He is: Craig P Church, D.C., D.A.C.B.R.
What information does ARS need from me to bill?

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
How Do I Ship X-Rays to ARS?

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
What is Digital Radiology Reading?
Digital radiography is a form of x-ray imaging, where digital X-ray sensors are used instead of traditional photographic film. Advantages include time efficiency through bypassing chemical processing and the ability to digitally transfer and enhance images. Also less radiation can be used to produce an image of similar contrast to conventional radiography. These digital X-rays are sent to ARS via the internet to our DICOM server. For more information about our digital radiology reading services, please contact us.
May I Send Files Immediately?
Once you’ve called ARS to set up your account, you may send films immediately. When you call, indicate that you would like to send films immediately; we will give you instructions.
May I Send My Files By U.S. Mail?
Because of problems associated with sending parcels through the U.S. mail – including lost packages and an inability to track package movement – use of the U.S. mail is strongly discouraged. Our experience with delivery services such as UPS has demonstrated their superior ability to handle “irreplaceable” cargo such as patient x-rays.
Do You Require That Films Be Current?
Ideally, in order to receive the best treatment, films sent for interpretation should be relatively recent. Normally, we ask that films be no older than three (3) months old. We will not read films over 6 months.
What Does This Service Cost Me?
Please contact our office at 419.269.2424 or email xray@ars2.com to inquire.
What Is The Turn-Around Time On Films?
Time will vary based upon your location. You can expect a 3-7 day turn-around time.
For Digital X-rays expect a 1 to 2 day turn-around time.
What Can I Expect A Report To Contain?
ARS doctors follow standard protocol in their reports, listing findings and clinical impressions. Samples of previous interpretations may be found by clicking on Forms and then viewing Sample Report 1.
How Many Doctors Currently Send Films To Your Office For Interpretation?
We currently have over 250 doctors and clinics taking advantage of our services.