RIVERWOODS INSURANCE LIST

List is subject to change at any time. For any questions regarding insurances, benefits, etc. please contact Amber or Sherry at 801-437-4895.

IF WE ARE NON-CONTRACTED/NON-PARTICIPATING WITH PATIENT’S PRIMARY AND/OR SECONDARY INSURANCE(S), THEY MUST HAVE AN OUT-OF-NETWORK/SWING-OUT POLICY TO BE TREATED AT OUR FACILITY OR THE PATIENT WILL BE HELD FINANCIALLY RESPONSIBLE FOR ANY AND ALL REMAINING BALANCES.

** ALL CLAIMS ARE BILLED GLOBALLY UNDER DR. WENDELL A. GIBBY**

 

ACCORDIA: CCN Network

Imaging: All plans are accepted.

Interventional: All plans are accepted.   

 

ADMINISTRATIVE ENTERPRISES: BCBS of AZ Network

Imaging: Not accepted for all networks. 

Interventional: Not accepted for all networks. 

 

AETNA: IHC Network

Imaging: PPO/EPO plans are accepted. 

              HMO plans are not accepted.             

Interventional: Not accepted for all networks. 

 

AFTRA: BCBS Network

Imaging: All plans are accepted. 

Interventional: Not accepted for all networks. 

 

ALTERNATIVE BENEFITS PLAN: PPO Next Network

Imaging: Not accepted for all networks. 

Interventional: Not accepted for all networks. 

 

ALTIUS:

Imaging: Not accepted for all networks. 

Interventional: Not accepted for all networks. 

 

AMERIBEN: 3^rd Party Administrator

Networks include, but are not limited to: Beech Street, PHCS, IHC.

Imaging: Plan specific to the employer’s network preference.  

Interventional: Plan specific to the employer’s network preference.

 

AMERICAN MEDICAL SECURITY: IHC Network

Imaging: Not accepted for all networks. 

Interventional: Not accepted for all networks. 

BCBS:  

Imaging: All plans are accepted.

Interventional: Not accepted for all networks.     

 

BEECH STREET:

Imaging: All plans are accepted.

Interventional: Not accepted for all networks.     

 

BENEFIT PLANNERS: 3^RD Party Administrator

Networks include, but are not limited to: Beech Street, PHCS, IHC.   

Imaging: Plan specific to the employer’s network preference.  

Interventional: Plan specific to the employer’s network preference.

 

CBSA: CCN Network

Imaging: All plans are accepted.

Interventional: All plans are accepted.  

 

CCN: 3^rd Party Administrator

Imaging: All plans are accepted.

Interventional: All plans are accepted.  

           

CHIP-MOLINA:

Imaging: Not accepted for all networks. 

Interventional: Not accepted for all networks. 

 

CHIP-PEHP:

Imaging: Not accepted for all networks. 

Interventional: Not accepted for all networks. 

 

CIGNA: **Procedures require pre-auth to be done by the referring doctor**

Imaging: All plans are accepted.

Interventional: All plans are accepted.  

 

CONSECO:

Imaging: No specific network.  Insurance will pay patient only.

Interventional: No specific network.  Insurance will pay patient only.

 

DEFINITY HEALTH: Beech Street Network

Imaging: All plans are accepted.

Interventional: Not accepted for all networks.    

 

DMBA:

Imaging: All plans are accepted.  Please contact us for provider information.

Interventional: All plans are accepted.  **MUST BE PREAUTHORIZED**

 

 EBMS: IHC Network

Imaging: Not accepted for all networks. 

Interventional: Not accepted for all networks. 

 

EMIA: IHC Network 

Imaging: All plans are accepted. 

Interventional: Not accepted for all networks, but, the out-of-network benefits are generally very good.  **MUST BE PREAUTHORIZED**

 

EVEREST: Beech Street Network

Imaging: All plans are accepted.

Interventional: Not accepted for all networks.    

 

FIREMEN’S FUND: First Health Network

Imaging: All plans are accepted.

Interventional: Not accepted for all networks. 

 

FIRST HEALTH:

Imaging: All plans are accepted.

Interventional: Not accepted for all networks. 

 

FORTIS: PHCS Network

Imaging: Not accepted for all networks. 

Interventional: Not accepted for all networks. 

 

GEHA: PPO USA Network

Imaging: All plans are accepted.

Interventional: All plans are accepted.  

 

GLOBAL MEDICAL MANAGEMENT: PHCS Network   

Imaging: Not accepted for all networks. 

Interventional: Not accepted for all networks. 

 

GREAT WEST:

Imaging: Not accepted for all networks. 

Interventional: Not accepted for all networks. 

 

HARRINGTON BENEFITS: Beech Street Network

Imaging: All plans are accepted.

Interventional: Not accepted for all networks.    

 

HEALTHNET: State specific plan       

Imaging: Not accepted for all networks. 

Interventional: Not accepted for all networks. 

 

 HM BENEFITS: Medicare supplement only

Imaging: Follows Medicare guidelines. 

Interventional: Follows Medicare guidelines. 

 

HEALTHY U-MEDICAID: Follows Medicaid guidelines

Imaging: All plans are accepted.

Interventional: All plans are accepted.  

 

HPN: 3^rd Party Administrator

Networks include, but are not limited to: COA, Sierra, etc.       

Imaging: Plan specific to the employer’s network preference.  

Interventional: Plan specific to the employer’s network preference.

 

HUMANA-CHOICE CARE: IHC Network

Imaging: Not accepted for all networks. 

Interventional: Not accepted for all networks. 

 

IBEW: Altius Network

Imaging: Not accepted for all networks. 

Interventional: Not accepted for all networks. 

 

IHC: **We are contracted only for cardiac MRI, ultrasounds, x-rays and certain pain

management procedures (see attached addendum)**

**We are not contracted to perform regular CT and MRI scans**

Imaging: All plans are accepted.

Interventional: All plans are accepted.  **MUST BE PREAUTHORIZED**

 

INTERMOUNTAIN IRONWORKERS: Altius Network

**Typically, very good out-of-network benefits for Utah County patients only**

Imaging: Not accepted for all networks. 

Interventional: Not accepted for all networks. 

 

JAS: Altius Network

**Procedures require pre-auth to be done by the referring doctor**

Imaging: Not accepted for all networks. 

Interventional: Not accepted for all networks. 

 

KAISER PERMANENTE: Emergency plan only

Imaging: Not accepted for all networks. 

Interventional: Not accepted for all networks. 

 

LIFEWISE: CCN Network, MUST HAVE OUT OF STATE BENEFITS

Imaging: All plans are accepted.

Interventional: All plans are accepted.  

 

 MAILHANDLERS: IHC Network for Utah plans

Imaging: Not accepted for all networks. 

Interventional: Not accepted for all networks. 

 

MARSH ADVANTAGE: Altius Network

Imaging: Not accepted for all networks. 

Interventional: Not accepted for all networks. 

 

MBA: IHC Network

Imaging: Not accepted for all networks. 

Interventional: Not accepted for all networks. 

 

MEDICAID: **Procedures requiring contrast cannot be performed**

Imaging: All plans are accepted.

Interventional: All plans are accepted.  

 

MEDICARE:

Imaging: All plans are accepted.

Interventional: All plans are accepted.  

 

MEDIVERSAL: **Patient must have out of state benefits**

Imaging: Not accepted for all networks. 

Interventional: Not accepted for all networks. 

 

MEGA LIFE: Beech Street Network

Imaging: All plans are accepted.

Interventional: Not accepted for all networks. 

 

MOLINA/AMERICAN FAMILY CARE:

Imaging: Not accepted for all networks. 

Interventional: Not accepted for all networks. 

 

MOTION PICTURE INDUSTRY HEALTH PLAN: BCBS of UT Network

Imaging: All plans are accepted.

Interventional: Not accepted for all networks. 

 

MUTUAL OF OMAHA: CCN Network

Imaging: All plans are accepted.

Interventional: All plans are accepted.  

 

NATIONAL FOUNDATION LIFE:

Imaging: Not accepted for all networks. 

Interventional: Not accepted for all networks. 

 

 NTCA: 3^rd Party Administrator

Imaging: Plan specific to the employer’s network preference.  

Interventional: Plan specific to the employer’s network preference.

 

ONE CALL MEDICAL:

Imaging: Benefits payable only if each procedure is authorized by OCM. 

Interventional: Benefits payable only if each procedure is authorized by OCM. 

 

OXFORD HEALTH PLANS: UHC Network

Imaging: All plans are accepted.

Interventional: All plans are accepted.  

 

PACIFIC CARE: State specific plan, primarily ER BENEFITS ONLY

Imaging: Not accepted for all networks. 

Interventional: Not accepted for all networks. 

 

PACIFIC LIFE: Beech Street Network

Imaging: All plans are accepted.

Interventional: Not accepted for all networks. 

 

P5: Beech Street Network

Imaging: All plans are accepted.

Interventional: Not accepted for all networks. 

 

PCN: Medicaid Network

Imaging: Not accepted for all networks. 

Interventional: Not accepted for all networks. 

 

PEHP:

Imaging: Only Preferred plan is accepted.

              Remaining plans are not accepted

Interventional: Only Preferred plan is accepted.

              Remaining plans are not accepted

 

PHCS:

Imaging: Not accepted for all networks. 

Interventional: Not accepted for all networks. 

 

PRINCIPLE LIFE: PHCS Network

Imaging: Plan specific to the employer’s network preference.  

Interventional: Plan specific to the employer’s network preference.

 

PROVIDENCE HEALTH PLANS: PHCS Network, ER BENEFITS ONLY

Imaging: Not accepted for all networks. 

Interventional: Not accepted for all networks. 

 

RAILROAD MEDICARE: Follows Medicare guidelines

Imaging: All plans are accepted.

Interventional: All plans are accepted.  

 

SIERRA HEALTH OF NEVADA: In-state benefits only

Imaging: Not accepted for all networks. 

Interventional: Not accepted for all networks. 

 

STARMARK: Beech Street Network

Imaging: All plans are accepted.

Interventional: Not accepted for all networks. 

 

TALL TREE/HEALTH UTAH:

Imaging: Not accepted for all networks. 

Interventional: Not accepted for all networks. 

 

TEAMSTERS: CCN Network

Imaging: All plans are accepted.

Interventional: All plans are accepted.  

 

TETRAFLEX: CCN Network

Imaging: All plans are accepted.

Interventional: All plans are accepted.  

 

TRICARE: ***Prime plans require authorization and/or referral***

Imaging: Standard plan accepted as long as medically necessary. 

                                MRI of head and neck must be preauthorized to receive benefits.               

               No benefits for routine maternity ultrasounds. 

Interventional: Standard plan accepted as long as medically necessary.

 

UHC:

Imaging: All plans are accepted.

Interventional: All plans are accepted.  

 

UNIFORM MEDICAL PLAN: Beech Street Network

Imaging: All plans are accepted.

Interventional: Not accepted for all networks. 

 

UNIVERSITY OF UTAH HEALTH PLAN:

Imaging: All plans are accepted.

Interventional: All plans are accepted.  

 

UTAH CARPENTERS: CCN Network

Imaging: All plans are accepted.

Interventional: All plans are accepted.  

 

UTAH PIPE TRADES: Altius Network

**Typically, very good out-of-network benefits for Utah County patients only**

Imaging: Not accepted for all networks. 

Interventional: Not accepted for all networks. 

 

UTAH TEACHERS ASSOCIATION: Medicare Supplement only

Imaging: Follows Medicare guidelines. 

Interventional: Follows Medicare guidelines. 

 

WESTERN MUTUAL: IHC Network

Imaging: Not accepted for all networks. 

Interventional: Not accepted for all networks. 

 

IHC ADDENDUM

 

THE FOLLOWING PROCEDURES ARE PAYABLE AS “IN NETWORK BENEFITS” IF PROPER AUTHORIZATION IS OBTAINED PRIOR TO THE PROCEDURE. 

 

 

 

CODES AND PROCEDURES ARE SUBJECT TO CHANGE WITHOUT NOTICE AT IHC’S DISCRETION.