About my bill...
Why did I receive this bill?
Your primary or attending physician referred you to the Radiology Department for diagnostic test(s) or other radiological services. Radiology includes services such as X-rays, CTs, MRIs, Ultrasounds, Nuclear Medicine, interventional and other radiological procedures.

The Radiologist is a physician specially trained to perform and supervise these procedures. The Radiologist interprets the results of the diagnostic test(s) and provides a written report of his/her findings to your physician.

You will receive two separate bills for the service(s) provided:

• You are receiving this bill from the Radiologist. The Radiologist charges a professional fee for the supervision and interpretation of your diagnostic test or other radiological procedure.
• You will also receive a bill from the facility where your service(s) was provided. The facility may be a Hospital, Outpatient Clinic, Imaging Center, Mobile X-Ray Unit, etc. The facility charges a technical fee for equipment, technicians and other operating expenses.

I received a bill from both the hospital and from my doctor's office. Are these bills duplicates, or am I being charged twice (or more) for the same service?
No, the bills are not duplicates. Your physician(s) will send a bill for their professional services, or the medical care they provided you. The physicians' charges are called "professional" charges. The hospital will send a bill for facility usage, equipment, and supplies during your visit. These are called "technical" charges.

About my insurance...
Will you file a claim with my insurance company?
We will file a claim with your insurance company using the insurance information we received from the hospital or facility that you visited. We will work with the insurance companies to the best of our abilities to get your claim paid.

In the event that your insurance plan denies coverage for services you received, we may file an appeal if we have enough information to determine that the denial was inappropriate. We may need additional information from you and/or your referring physician.

If your insurance company denies payment based on valid reasons (refer to your health plan's Benefits Manual), then you are responsible for non-covered services.

Please call a patient account representative at (713) 331-1850 or e-mail pr@rmixray.com to provide or verify that we have your correct insurance information.

Why should I call my insurance company? This claim is between you and the insurance company.
The insurance claim we filed is filed on your behalf. Ultimately, financial responsibility lies with the patient or the patient's legal guardian. The insurance claim is for payment of healthcare services that you may be entitled to (refer to your Benefits Manual).

Our patient account representatives will file a claim based on the information available to us. Sometimes the insurance companies will require additional information that we do not have, and that you and/or your referring physician can provide. In such case, you should call your insurance company to provide the required information.

In the event that we have provided all the needed information and the insurance company fails to pay promptly, you may have a larger impact than us when you call the insurance company to demand their attention. The insurance companies regard you, the member, as their "customer" and often give you higher priority.

I gave my insurance information to the facility of service. Why do you need this information?
The radiologists have a medical practice separate from the hospital or facility. The radiologists rely on the facilities to provide them with correct information obtained from the patient at registration. The radiologists do not always receive complete insurance information from the facility, especially when a change is made after registration or additional information is provided at a later time.

The radiologist will send you a bill in the absence of insurance information from the facility. If our bill contains incorrect information about you or your insurance, please contact one of our patient account representatives at 713-331-1850 or by e-mail at pr@rmixray.com.

About Refunds...
When will you process my patient refund?
Refunds are processed once every month. Your refund should arrive no later than six (6) weeks from the date you request your refund.

When will you refund my insurance for their overpayment?
If a patient's insurance company makes an overpayment, we contact the insurance company for a written refund request. We must have pertinent information from your insurance company to send with the refund check. When we receive the written request from your insurance company, we will promptly process the refund.

Other...
Is my ex-husband/ex-wife responsible for half of the patient's bill?
We bill the legal guardian who brought the dependent to us for medical services. In the absence of documented, written instructions, such as a divorce decree, we will continue to bill only the guardian who brought the dependent to the facility where the services were performed.

I applied for charity at the hospital/facility where I received services. Does your physician's practice automatically honor the charity application approved by the facility?
No, not in most cases. Patients who complete a charity assistance application at the hospital/facility are applying for assistance from that facility only. If you receive bills from providers other than the facility, you may be required to complete a charity assistance application for those providers. All pertinent information requested in the charity application must be mailed to the provider's billing office for consideration by the providers.