Women's Center

Patients are encouraged to call their insurance company to confirm the service will be covered at 100% as a preventative service or subject to their deductible and/or coinsurance. Insurance representatives cannot advise on specific diagnosis codes to ensure coverage, nor can they guarantee how a claim will be paid until received and processed.

No, strict government and insurance company documentation and coding guidelines prevent a physician from altering a chart or bill for coverage determination. This is considered insurance fraud and punishable with fines and/or jail time.

If you have questions about a claim's payment, please contact your insurance company. Again, please remember that we cannot modify and resubmit a claim to change how benefits are applied.

Legislation has been introduced to expand coverage and access to breast imaging, particularly for high-risk patients. This does not affect us as a rendering facility but instead focuses on insurance coverage and how benefits are written. Patients are encouraged to contact their insurance company to confirm if their plan includes expanded coverage.

Yes, your risk score may change annually. This could mean that based on your contributing factors, you may reach a point where your risk score is no longer above the general standard of 20% or greater.