Accepted Insurances
For insurance questions please call 505.332.6900
High Resolution / RAA Imaging / Contracted Insurance List as of
AARP
Admar/BCE Emergis/Multiplan
Prior Approval if Cigna authorization thru Med Solutions
Aetna/PPO
Must Verify
888-632-3862
American Medical Security
Must Verify
800-232-5432
Amerivantage/Medicare Replacement
Prior Approval
Assurant
Must Verify/Health Smart Not Accepted
BCBS/Federal/HMO NM/Medicare Advantage
Prior Approval from AIM/All NM Plans
877-774-8592
BCBS/Out of State Plans
Prior Approval from Home Plan
Number on Card or Use BCBS Finder Line 800-676-2583
BCBS – UNM Group# N11003
Not Accepted
BCBS Lovelace Medicare Plan
Not Accepted
Beech Street Network
Must Verify
BCBS Centennial
Prior Approval from Both Primary and Secondary
877-232-5515
Care Improvement Plus Medicare Replacement
Must Verify
866-679-3119
Care Network/Beech Street
Must Verify
Carpenters thru BCBS Prefix NMW
Must Verify thru Local Union/AIM
505-262-1921 or AIM
Champ VA
No Approval Needed
800-733-8387 Option 3
Champus/Tricare
888-874-9378
Choice Net/HUMANA
See HUMANA
Childrens Medical Services (Title IV) Medicaid EX
Prior Approval Form 309
Cigna/Beech Street
800-279-8369
DakotaCare
SPN Network Only
Definity/Thru UHC or BeechStreet Only
Must Verify
Number on Card
Employee Benefit Consultants (EBC)
Must Verify
866-296-4006
First Health /Conventry-Affordable
Must Verify
800-937-6824
GEHA/PPO USA
Must Verify
800-821-6136
GHI
Prior Approval on All Services
Out of Network
Golden Rule
Must Verify
800-232-5432
GM Southwest (UNM) Pres Prov Select
Must Verify
800-477-4415
Great West/One Health Plan
Prior Approval Needed
800-663-8081
HCH
Must Verify
877-876-5969
HUMANA/Choice Net
Prior Approval on MRI, CT
800-448-6262
Humana HMO or PPO Medicare Replacement
Prior Approval
888-318-0280
Indian Health
Referral Form Needed
505-552-5300 or 505-869-4862
John Alden/Assurant Health
Only CCN or Multiplan
Phone Number on Card
Mail Handlers/First Health
Prior Approval Needed
800-410-7778
Macori (UNM Student Ins)
Must Verify/Sister Company to Maksin
877-266-7778
Maksin (UNM Student Ins)
Must Verify/Formally National Union Fire
877-266-7778
Med Focus
Approval
800-279-8369
Medica/UHC
Must Verify
952-992-2230
Medicaid/ACS-Exempt
No Approval Needed
Medicare/RR Medicare
No Approval Needed
877-567-9230
MedNetwork/Multiplan
Must Verify
Phone Number on card
Megalife/Only if thru Beechstreet
Must Verify
Phone Number on card
Molina Salud/Molina Medicare
Prior Approval on MRI, CT
505-342-4660
Multicraft and Opt Engineers thru BCBS
Prefix SWJ/Verify thru Local Union/AIM
505-262-1921 or AIM
Mutual of Omaha
Must Verify
Phone Number on Card
New Mexico Health Connections
Auth needed for primary and secondary
855-769-6642
One Call Medical
Prior Approval Needed
973-257-1000
One Health Plan/Great West
Prior Approval Needed
800-663-8081
PHCS Network
Prior Approval Needed
800-323-1683
PHP ASO GROUPS
- Albuquerque Public Schools (APS)
- New Mexico Public Schools Insurance Authority (NMPSIA)
- Presbyterian Healthcare Services (PHS)
- State of New Mexico (SoNM)
- New Mexico Retirement Healthcare Authority(NMRHCA)
Authorization needed from HEALTH HELP
505-923-5757
Pipe Trades thru BCBS/Prefix PPU
Must Verify thru Pipe Trades Office or AIM
505-881-3141 or AIM
Presbyterian Select Provider Network
Must Verify
Phone Number on Card
Presbyterian Health Plan/Comm/Senior
Prior Approval from HEALTH HELP
888-318-0280
Presbyterian Centennial
Prior Approval from HEALTH HELP
888-318-0280
Principal
Must Verify
800-247-4695
Secure Horizons
Prior Approval Needed
866-579-8811
Starmark
Must Verify
800-522-1246
SW Administrators/UFCW & Sheet Metal
Prior Approval thru Beech Street or Multiplan
505-265-8422
Total Community Care
Prior Approval Needed/Medicare Replacement
505-294-2603
Tricare
Must Verify
888-874-9738
UMR (Formally Wausau)
Must Verify
877-233-1800/800-826-9781
United Health Care
Prior Approval Needed
877-842-3210
United Health Care Centennial Care
No Approval Needed
877-842-3210
United Health Care Integrated Service
Prior Approval Needed
888-830-0179 or 800-777-1647
United Health Care Medicare
Prior Approval Needed
877-842-3210
US Dept of Labor
Approval from RAA Billing Office
800-279-8369
THIS IS A GUIDE ONLY – PLEASE CALL THE BILLING OFFICE WITH ANY QUESTIONS
*This insurance list is for informational purposes only. Insurance plans are carrier specific and may include restrictions as many plans require prior authorizations. Please refer to plan policy and provisions for coverage issues. Patients should contact their insurance company/health plan in advance to be certain the services are covers at an RAA facility.