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We invite you to
participate in Atlantic Imaging Group, LLC (ATLANTIC), a specialty diagnostic
radiology network serving the Personal Injury and Workers Compensation
industry. ATLANTIC IS THE ONLY COMPANY IN THE COUNTRY THAT
PRE-FUNDS ITS CLAIMS WITHIN 72-HOURS OF RECEIPT!
ATLANTIC IS EXPANDING ITS SERVICES NATIONWIDE. A qualified facility must
be licensed in accordance with all applicable state law and all Radiologists
must be Board Certified to participate with ATLANTIC, have a minimum of $1.0
million / $3.0 million malpractice Liability coverage and not have more than
$1.0 million dollars in settled malpractice claims over a 5 year period.
Providers must execute a Master Facility Agreement with ATLANTIC in order to
participate as an ATLANTIC Preferred Provider. MedCheck Credentialing Services,
LLC has been designated to perform the primary source verification for
ATLANTIC.
Joining our Network requires two steps:
Step 1: The Master Facility Agreement must be signed by the owner or
authorized representative. If you elect to have more than one location
participate in the network, you may list the names and addresses on the
signature pages as long as the Tax ID is the same.
Step 2: A Facility Application must be completed for EACH
location even if the Tax ID is the same.
Step 3: Physician Applications must be completed for each Radiologist
performing services at your facility(ies).
After ATLANTIC receives the documents, credentialing will begin immediately.
The process will include a site inspection for non ACR accredited facilities.
We will expedite the process by the timely return of your information. Please
feel free to call with any questions or to check on the status of your
application.
Our success is the result of a community-based network of providers working to
provide quality diagnostic services within a predetermined payment schedule and
quality management controls that provide for appropriate services and
monitoring of those services. ATLANTIC provides the network, single-source
credentialing and pre-funded claims payment. We depend on your commitment to
quality. In exchange, ATLANTIC promotes marketing of your facility through a
single-signature contract accessing many large insurance carriers. Only
professionally competent providers and facilities that meet our qualification
standards will be approved to participate in ATLANTIC.
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Facility
Application |
Physician
Application |
 Facility
Application
Download, fill out and return
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Physician
Application, Download, fill out and return
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Master
Facility Agreement, Download, fill out and return
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Please contact David DiMarcantonio
973-451-9415 ext: 8235 for additional information and to receive a Fee Schedule |
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