Frequently Asked Billing Questions
Who is MSN?
MSN is a radiology billing company contracted by Utah Imaging Associates.
Why do I receive separate bills from the hospital and from the physician?
When a physician specialist performs these services, he/she is generally required to submit their bill separate from the hospital’s bill.
For example, if you came to the emergency room and had an x-ray and laboratory tests, you may receive a bill from the hospital for technical resources, a bill from the emergency room physician for professional services, a bill from the radiologist for interpreting any x-rays, and a bill from the pathologist for analyzing any specimens taken.
I see the same item listed on the physician’s bill and the hospital bill. Why?
Every hospital visit involves both physician and hospital resources. Although the hospital and the provider may use the same language to describe each charge, their bills are for separate services. The physician’s bill will be for professional assessment, direction and oversight. The hospital’s bill will be for the technical resources, including procedures and equipment, medications and supplies.
Will you bill my primary and secondary insurance carriers?
Yes, as a courtesy to our patients, Utah Imaging Associates will submit the bill to your insurance carrier. If you have a secondary insurance company, a claim will be sent to the secondary insurance company after the primary insurance company paid. You are requested to supply the pertinent billing information that the insurer may require.
Why did my insurance pay only a part of my bill?
Most insurance plans require that you pay a co-payment, coinsurance or deductible for your health care expenses. Contact your insurance company for specific information about your coverage.
Why did I receive a bill if I have insurance coverage?
You will receive a patient responsibility statement after your insurance processes our bill. The amount you are billed for is based on what your insurance communicates to us on an explanation of benefits (EOB). The EOB details how your insurance processed our bill and calculated your responsibility based on your individual insurance plan. If you believe your responsibility is not correct, please contact your insurer directly.
My insurance should have paid my bill, what should I do?
Please verify that your insurance carrier has received and processed the claim. If the claim has not been processed, then carefully review your insurance policy or contact your insurance carrier to determine if the services and procedures are covered. Your insurance carrier will have the most accurate and up-to-date information about your policy and your claim. If your insurance company has questions, please direct them to contact Customer Service to verify that the most up-to-date insurance information is on file.
Why am I getting a bill now, when services were provided so long ago?
Utah Imaging Associates will process and send a bill to a patient after payment is received from the insurance carrier and it is confirmed that the balance is owed by the patient. The length of this process depends on how long it takes to receive a response from your insurance carrier, and whether there is secondary insurance.
Is there any help available if I am experiencing a financial or medical hardship?
We would love to be able to work with you on your balance. Please contact us at 800-475-3698 to discuss the available options.
Does Utah Imaging accept assignment from Medicare?
Yes, we do. By accepting assignment, Utah Imaging agrees not to bill the patient for any charges Medicare disallows. However, we do bill patients for deductibles, co-insurance and non-covered services. There are instances when Medicare may not cover certain procedures or frequency of treatment. If that applies, you will be given the Advance Beneficiary Notice (ABN). The purpose of the ABN form is to let you know in advance that certain services may not be covered and to advise that you may be responsible for payment of these charges. An ABN gives you the option to accept or refuse the items or services in cases where Medicare denies payment.
For more information about your Medicare coverage, please contact the Medicare Beneficiary Office at 800.633.4227 or medicare.gov
What does “in-network” and “out-of-network” mean?
If you receive your health care services from a hospital, physician or other health provider that participates in your health plan, they are considered “in-network.” Hospitals, physicians or other health care providers who do not participate in your health plan may be referred to as “out-of-network.” You may have a higher co-insurance and/or co-pay for out-of-network services. In some cases, out-of-network services are denied totally.
What should I do when my insurance carrier has changed?
Please contact us at 800-475-3698 to update any pertinent insurance information.