Insurance Site of Care Review

A Site of Care Review is a way for some insurance companies to determine if the imaging exam your doctor has ordered can be performed in a freestanding outpatient imaging facility as a way of saving you money, while not compromising the quality of care provided.

UnitedHealthcare will be performing Site of Care Reviews for CT and MRI studies as of January 1, 2019. The Site of Care Review will only be conducted if the procedure will be performed in an outpatient hospital setting. There will not be a Site of Care Review if the procedure will be performed in a freestanding diagnostic radiology center or an office setting.

UnitedHealthcare understands there may be instances when plan members may not be close to a participating freestanding imaging center with the necessary resources for the care they need. In these cases, the procedure will be authorized at a network outpatient hospital facility.

UnitedHealthcare conducted careful reviews to determine which procedures are clinically appropriate, equally safe and effective if performed at locations other than an outpatient hospital setting. The out-of-pocket cost for plan members may be significant depending on the location where a procedure is performed.

Diagnostic Imaging Northwest is committed to offering the most affordable, highest quality care in a welcoming environment. We have a global billing policy which means we send you one bill per visit. Our facilities are independently owned imaging centers so we never charge a facility fee, which can raise the price of your bill.

You can read more about UnitedHealthcare’s policy on Site of Care Reviews here.