Benefits and Processes
RDL accepts most of the insurance programs and benefits.
Services | Billing Information | Insurance Providers  
 
   
 
Client Services
 
Patient Services
 
 
Staff Services
 
 
Technical Services
 
 
Special Services and Testing Guidlines
 
 
 
 State Licenses
  CA, FL, MD, NY, PA, RI
   
     
     
 Billable Government Agencies
(PATIENT WILL NOT RECEIVE A BILL)
 

MEDICAID (AL, CA [MediCal], FL, GA, ID, IL, IN, IA, KS, KY, MA, MN, MT, NE, NY, NC, OH, OR, SC, SD, TX, UT, VA, WA, WY)

 

MEDI-CAL

 

MEDICARE

 

MEDICAID/MEDICARE

 

MEDI-CAL/MEDICARE

   
     
     
 Contracted Insurances
(PATIENT WILL NOT RECEIVE A BILL)
  CONSERVICARE
 

GEMCARE:  Golden Empire Managed Care & Managed Care Systems of Kern County

 

METRACOMP WORKERS’ COMPENSATION

 

TRAVELERS WORKERS’ COMPENSATION

 

USA WIN WORKERS’ COMPENSATION

   
     
     
 Preferred Provider List *
( CUSTOMARY CO-PAYS & DEDUCTIBLES APPLY )
  ADMAR/MED NETWORK
  AFFORDABLE HEALTH NETWORK
  ALLIED BENEFITS
  AMERICAN POSTAL WORKERS UNION (APWU)-BEECH ST.
  ANTHEM HEALTH PLAN
  ASMED HEALTH PARTNERSHIP
  BEECH STREET
  BERGEN COUNTY LABORERS WELFARE FUND
  BLUE CROSS (ALL STATES, NO HMO PLANS)
  BLUE SHIELD (ALL STATES, NO HMO PLANS; PLUS LEASEABLE CONTRACTS)
  CAPP CARE (PPO)
  CALIFORNIA FOUNDATION FOR MEDICAL CARE & LA/VENTURA COUNTY FOUNDATION FOR MEDICAL CARE
  CHAMPUS TRICARE
  CHANDLER GROUP (DIRECT CARE AMERICA)
  CHOICE CARE NETWORKS/HUMANA
  COMMUNITY CARE NETWORK (CCN)
  CORVEL
  DEVON HEALTH SERVICES, INC.
  EDUCATORS MUTUAL
  EBP - EMPLOYERS BENEFIT PLAN (EBS)
  EVOLUTIONS HEALTHCARE SYSTEMS
  FIRST HEALTH NETWORK (MAIL HANDLERS BENEFIT PLAN)
  FORMOST/BCE EMERGIS
  GALLAGHER BASSETT
  GEHA
  GREAT-WEST HEALTHCARE
  GUARDIAN
  HEALTH ALLIANCE PLAN
  HEALTH STAR/PPO NEXT
  HEALTHNET/TRICARE
  HIGH DESERT MEDICAL GROUP (HDMG)
  INTERPLAN
  JOHN ALDEN (AZ, CA & GA ONLY)
  JOHN HANCOCK MUTUAL
  KEMPER NATIONAL 
  LA FOUNDATION
  LIBERTY MUTUAL
  METROPOLITAN LIFE
  MULTIPLAN
  MUTUAL OF OMAHA
  NATIONAL ASSOC. LETTER CARRIERS (NALC) HEALTH BENEFITS
  NEXCALIBUR (MEDICAL RESOURCES NET, FIRST MEDICAL NETWORK)
  NIPPON LIFE
  PACIFICARE (WASHINGTON STATE ONLY)
  PERFORMAX
  PLAN VISTA SOLUTIONS
  POMCO
  PRIVATE HEALTHCARE SYSTEMS (PHCS) [Allied Benefits, Amerihealth, Fortis Ins]
  PREFERRED HEALTH NETWORK
  PRO NET PREFERRED
  PRINCIPAL FINANCIAL/PRINCIPAL HEALTH GROUP
  PRINCIPAL LIFE
  PROVIDENCE HEALTH
  PRUNETWORK (PPO ONLY)
  QUALMED
  SCHALLER ANDERSON OF CALIFORNIA (SACA)
  SIOUX VALLEY HEALTH PLAN
  SOUTH CARE
  TAKE CARE (PEAK)
  TLC ADVANTAGE
  UNICARE
  UNITED HEALTHCARE/BLUE SHIELD
  USA MCO (PPO)
  WAUSAU BENFITS
  WESTERN HEALTH NETWORK

* Please have patient verify we are providers under their particular contract.

   
     
 HMO

We are not a provider for any HMO contracts.  All HMO patients require authorization prior to service date for laboratory testing.  If an authorization is not obtained, the patient will receive a separate bill for lab tests performed.

   
     
     
 Claims

Although we can process these claims, they may or may not be approved for payment based upon the patient’s policy.  The following conditions may apply: 

OUT OF NETWORK CHARGES
CUSTOMARY CO-PAYS
CUSTOMARY DEDUCTIBLES

Patients will be responsible for all denied claims and remaining balances:

Claims can be processed for the following entities

  AETNA
  AMERICAN INSURANCE ADMINISTRATORS
  ALTER-NET MEDICAL SERVICES
  CALIFORNIA CARE HEALTH PLANS (BC)
  CHAMPUS
  CIGNA/CONNECTICUT GENERAL LIFE
  HEALTH NET
  HUGHES AIRCRAFT (PPO)
  MEDICAL RESOURCE ALLIANCE
  MEDPLUS
  MET LIFE/METRAHEALTH
  OXFORD HEALTH
  PACIFICARE
  PACIFIC CARE
  PRUDENTIAL (Except Prunetwork, see previous page)
  TRAVELERS/TRAVELERS MANAGED CARE
  UNITED HEALTHCARE