Billing & Insurance Resources

To better assist our patients in identifying NMRA radiologists who may be included on insurance plans and because insurance plans typically list individual physicians rather than physician groups. Please check with your insurance plan to verify that the NMRA radiologist is a participating provider on your plan.

We are a not-for-profit healthcare system providing high quality healthcare services to Gwinnett County. As a not-for-profit organization, we regularly assess our charges to ensure they are competitive and work to secure fair and reasonable rates from insurers.

NMRA is a contracted physician service providing radiology reading and interpretation services for our patients.

Insured Patients

Payment for services provided is due at the time services are rendered. We will submit a claim for you to any third party or insurance carrier with whom we contract. Any fees not payable by the third party or insurance carrier are the patient's responsibility. Most major insurance providers are accepted, including:

• 1st Medical Network PPO (Formerly MRN)
  
• AETNA US Healthcare HMO, QPOS & PPO
  
• Beech Street PPO & Worker's Comp/CAPP Care PPO
  
• Companion Workplace Health Worker's Comp
  
• Coventry Health Plan HMO, POS (Formerly Principal)
  
• Coventry National
  
• Evolutions Healthcare System/ Guardian Resource PPO
  
• First Health/SouthCare PPO
  
• Galaxy Healthcare PPO
  
• Great West Healthcare HMO, POS & PPO (Formerly One Health Plan)
  
• Highway To Health PPO
  
• Humana HMO/POS
  
• Humana PPO
  
• Multiplan (formerly One Health Plan)
  
• PeachState Medicaid
  
• Private Healthcare Systems (PHCS) POS & PPO
  
• PROMINA Employee Benefit Plan HMO & POS (Coventry)
  
• Southcare PPO
  
• State Benefit Health Plan (State Merit) PPO
  
• Tricare (Humana Military Healthcare Services)
  
• USA Managed Care PPO & WC
  
• WellCare Medicare/Medicaid

Hospital Only

• Amerigroup Medicaid CMO
  
• Blue Cross HMO & POS & PPO
  
• Blue Cross Prudent Buyer
  
• Cameron & Associates (Behavioral Health)
  
• Choice Behavioral (Behavioral Health)
  
• CIGNA HMO & POS & PPO
  
• Kaiser Rehab Only
  
• United Healthcare HMO & PPO

NMRA accepts all major managed care payers.

Insurance Pre-Certification

Most insurance companies require pre-certification of non-emergency services. This is the responsibility of the patient and their physician. Failure to obtain pre-certification could result in non-payment of the hospital bill by the insurance company. At the time of registration, patients are requested to assign insurance benefits to the hospital. Patients who wish to bill their own insurance or have not secured an authorization will be required to pay for these services during the registration process.

Pre-Certification number 678-312-4095

Uninsured Patients

Uninsured patients are eligible to receive a prompt pay discount of up to 40 percent of charges if payment is made prior to service. Gwinnett Medical Center accepts cash, check, credit cards and debit cards. The 40 percent discount does not apply to all services.

For price estimates, call the price estimation line at 678-312-4212. Due to the time and research required to provide estimates, we ask all callers to leave a message. When leaving your message, please be sure to let us know if the patient is uninsured.

Should financial hardships prohibit acceptable payments or payment arrangements, Financial Counselors are available to assist you with our financial assistance program.

Call 678-312-4406 to apply for financial assistance
Financial Assistance Application
**link to attached application

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