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Participating Insurance Companies • List of CPT Codes
Patient Forms: requires Adobe Acrobat Reader (click here to download)
New Patient Forms:
- Patient Registration Form
- Patient Health & History Form
- HIPAA Notice of Privacy Practices
- HIPAA Authorization
- Financial Policy
Procedure Forms:
Articles: requires Adobe Acrobat Reader (click here to download)
Participating Insurance Companies:
This list is provided as a general guide and is subject to change. If you do not see your specific insurance provider listed, please contact our office to confirm coverage: (866) 472-4472.
Aetna Front Path Ohio Health Group American Health Group Galaxy Health Network Ohio Preferred Network Anthem Blue Cross & Blue Shield Great-West Healthcare OPN Beechstreet Health Design Plus Paramount Medicaid Advantage Buckeye Community Health Plan Health Reach Paramount PPO and HMO Bureau of Worker's Comp Health Scope Benefits PHS Cardinal Health HealthLink PPO Next Caresource ABD and CFC HealthSpan Primary Health Service ChoiceCare Indiana Health Network Private Healthcare Systems ChoiceCare Medicare Klais Network Railroad Medicare Cigna Healthcare Lutheran Preferred St. Rita's Medical Center Comprehensive Benefits Medicaid- traditional Three Rivers Provider Network Cornerstone Alliance Medical Mutual of Ohio TriCare/Champus DCA Medicare United Health Care Direct Care America Multiplan United Medical Resources Emerald Health National Provider Network USA Health Network First Health Nationwide Fortified Provider Network Ohio Health Choice To confirm level of coverage, you will need to personally contact your insurance provider. You will need specific information about the procedures to be performed and our provider identification. Please contact our office for assistance with this information.
List of CPT Codes:
This list provides the names of various procedures performed here along with there CPT codes:
CPT CODE PROCEDURE 99242 Office Consult 99202 Office Visit for New Patient 99213 Office Visit for Established Patient 93970 Bilateral Doppler Ultrasound 93971 Unilateral Doppler Ultrasound 36471 Sclerotherapy 36478 Endovenous Laser Ablation 1s Vein 36479 Endovenous Laser Ablation 2nd Vein 37765 Phlebectomy (less than 20 incisions) 37766 Phlebectomy (more than 20 incisions) 93922 ABI’s (Ankle Brachial Indices)
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phone: 1-866-472-4472
e-mail: info@yourveincarecenter.com
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