Insurance & Billing Information for Delaney Radiology Patients

At Delaney Radiology, we’re committed to providing a better diagnostic imaging experience for patients in Wilmington, North Carolina, and surrounding areas. That includes helping you understand your insurance coverage for medical imaging services and providing you with information that will help you manage any out-of-pocket costs for your care. Please review the information below, which covers health-insurance and billing information that patients frequently ask us about.

If you have additional questions, our billing office is ready to assist you Monday through Friday from 8:00 a.m. to 5:00 p.m. Please call 910-762-3882 Opt 4 for assistance.

Q. What is an EOB (Explanation of Benefits)?

An EOB is the statement provided to the patient from an insurance company describing the action taken on a claim.

Q. What is a co-payment?

A co-payment is the amount payable by the patient as specified by their insurance policy—a sharing of costs, so to speak.

Q. What is a deductible?

A deductible is the amount indicated in your insurance policy payable by you before benefit payments begin.

Q. Do you participate with my insurance?

Delaney Radiology will file with any insurance company. However, to ensure that you are fully informed on the details of your coverage and costs you may be responsible for directly, we recommend contacting your insurance provider to discuss in-network coverage, deductibles and coverage details. For further coverage information, please call the customer service number on your insurance card.

Delaney Radiology participates with the following insurance companies:

  • Medicare
  • Blue Medicare
  • North Carolina Medicaid
  • Tricare
  • Tricare Prime
  • Blue Cross of NC (all plans)
  • State Health Plan
  • Cigna (Affiliates: Great West, Cigna Open Access Plus)
  • Medcost (Affiliates: American Republic, Assurant, Celtic, Guardian Life, Freedom Life, FirstCarolineCare, Mega Life, World Ins, Trustmark, Principle Life, Midwest National Life, National Foundation, Maksin Mgmt Corp, IHC Health Solutions, Humana)
  • PPO NEXT (Affiliates of UHC: Definity Health, MAMSI, Golden Rule, Oxford Health, PacifiCare, Midwest Security Life Insurance Company, OneNet PPO, United Medical Resources, UMR, New River Valley, All Savers)
  • BeechStreet
  • Aetna (Aetna Medicare, Coventry, Work Comp Access AWCA)
  • Multiplan (GPA, PHCS)
  • One Call Medical
  • Coventry – includes Advantra
  • MedRisk WC
  • Prime Health Services WC
  • UHC and South Carolina Medicaid

If your insurance company is not listed, we will gladly file it for you and bill you any balance due.

Q. Both my husband and I have coverage for our child. Which insurance would be primary?

Unless there is a court order to establish primary coverage, the date of birth rule would apply. The parent whose date of birth comes first would be considered primary.

Q. I have been approved for the Charity Care Program at my local hospital. Do you honor that program?

Yes, but only on hospital accounts. Call our office to find out if we participate with the hospital that has approved you for participation in this plan.

Q. Do you participate in Coastal Connect Health Information Exchange?

Yes.  We contribute financially to increase the efficiency of patient care in our community and surrounding areas. The connected entities increase the efficiency of patient care and improve care management and the overall patient experience.

Q. Where do I mail payments for services rendered?

Delaney Radiologists Group
PO Box 63050
Charlotte, NC 28263-3050

Delaney Radiologists PA
PO Box 63032
Charlotte, NC 28263-3032

Q. I have already satisfied my deductible, but I received a bill. Why?

After verification of all personal and insurance information, the patient would be advised to contact their insurance company to see if the claim was properly processed.

Q. May I pay my bill over the telephone with my credit card?

Yes, you can pay your bill over phone using our 24/7 automated line at (910) 763-1800 option 8. We accept Visa, MasterCard, Discover, American Express, and Care Credit. You may also mail in your credit card information for payment.

Q. What if I can’t pay my bill in its entirety?

We will be happy to help you set up a monthly payment plan.

Q. Do you offer discounts?

We offer a discount for all self pay patients (or all patients with no insurance) if paid during the first statement period.

Q. I was a patient at my local hospital and I received a bill from Delaney Radiologists. Why?

The hospital billed you for their part of their services including the use of their equipment (technical component) and Delaney Radiologists billed you for the radiologist’s reading of the x-ray or for performance of a procedure (professional component).

Each time a physician sees or provides a service to you, it is considered a separate occurrence, and a separate bill is generated for each occurrence.

Sites that you MIGHT get a bill from us for providing professional interpretation services include:

  • Carolina Arthritis
  • Dosher Memorial Hospital
  • Insight Imaging
  • New Hanover Health Network – including the hospital, ERs and health & diagnostic centers
  • New Hanover Medical Group
  • Novant Health Brunswick Medical Center
  • Pender Memorial Hospital
  • Urology Associates
  • Wilmington Health
  • Site Coastal Pulmonary

Q. How can my account be in collections if I never received a statement from you?

It is possible that we did not have your correct address. If you were a patient at the hospital, we would have received the address that the hospital has for you in their information system. That information is provided to Delaney Radiologists via an electronic data transfer. If the hospital has incorrect information about you, we too will have incorrect information about you. Delaney Radiology sends two billing statements, and then a final notice to all patient accounts. In addition, multiple telephone contacts are attempted. In the case of no response, or returned mail, we have no recourse other than sending the account to collections.

Q. I have overpaid on my account with my credit card. Will I receive a refund check, or will I receive a credit on my credit card?

A refund check will be issued to you, or we can credit your credit card account if you desire.

Q. When should I expect my refund?

Refunds are issued twice a month. It usually takes about 30 days from the date that we receive the overpayment until the check is issued and mailed.

Q. My auto insurance and my private insurance have both paid my account. Who will receive the refund?

Many insurance companies do not subrogate, therefore any overpayments would be issued directly to the patient. If the insurance company subrogates, the overpayment would be issued to the insurance company.

Q. Will Medicare pay for my screening mammogram?

Yes, once every twelve months.

Q. My insurance didn’t pay for my mammogram, because it was billed as diagnostic. My insurance only pays screening mammograms. Can’t you just bill it as screening mammogram?

We can bill for a screening mammogram only if you are not having any symptoms.

Q. Medicare paid for my bone density exam last year, why not this year?

Medicare will pay for a bone density exam only once every two years, and only if it is a covered diagnosis.

Q. Can I file Medicaid if I have other insurance?

Yes, but Medicaid is always secondary. If your primary pays as much as or more than Medicaid allows Medicaid will not make any additional payment.

Q. Can I file Medicaid if I was in an auto accident?

You should file your auto liability insurance.