Leak
No SelectHealth / RBM authorization
The denial it triggers
Non-appealable advanced-imaging denial
How we stop it
We obtain the authorization before the scan is performed
Radiology billing · West Jordan, UT
Radiology billing services in West Jordan sit inside one of Utah's most commercially insured suburban markets, where a single integrated system's health plan touches a large share of every imaging schedule.
247MBS has billed radiology since 2005 with a dedicated account manager, a free real-time dashboard, HIPAA-compliant and SOC 2 Type II operations, and coders who know how SelectHealth prior authorization and Noridian LCDs decide whether a southwest Salt Lake County read gets paid.
West Jordan is a fast-growing family suburb on the southwest edge of Salt Lake County, anchored by Jordan Valley Medical Center and surrounded by the outpatient imaging centers, orthopedic groups, and urgent-care clinics that serve its young, largely working households. Compared with the more Medicaid-weighted neighborhoods just north, the payer mix here leans commercial — employer coverage carried by families with steady jobs — and in Utah that commercial book is shaped heavily by one carrier.
That carrier is SelectHealth, the health plan owned by Intermountain Health, which covers a large portion of insured Utahns and runs its own advanced-imaging authorization rules. For a West Jordan radiology practice, most revenue leverage lives in getting those commercial authorizations right before the scanner runs. Utah does administer Medicaid through Accountable Care Organizations rather than a single fee-for-service program, and SelectHealth Community Care and the other Intermountain-aligned ACOs are the plans a West Jordan group sees most, but the defining feature of this market is commercial concentration, not Medicaid volume. For Medicare Part B, Utah falls under Noridian Healthcare Solutions, Jurisdiction JF, whose Local Coverage Determinations set medical necessity. A CT or MRI read without a supporting diagnosis under the Noridian LCD, or without the SelectHealth authorization on file, will not pay on the interpretation alone.
An imaging claim breaks into the read, the equipment, and the authorization-and-supervision layer around them. These are the levers our team sets on every West Jordan study; the codes appear only in this table.
| Billing element | How it drives payment in West Jordan |
|---|---|
| Professional vs technical | Modifier 26 for the interpretation, TC for the equipment; global only when one entity owns both |
| Site of service | A read at Jordan Valley Medical Center bills 26 as a split claim; an office that owns the scanner bills global |
| Commercial prior authorization | MRI (70551–70553), CT (74176–74178), and PET cleared through SelectHealth or the plan's RBM before imaging |
| Contrast and supervision | Without vs with-contrast codes and the supervision level matched to the physician order |
| Modifiers | RT/LT for laterality, 59 to unbundle distinct services, 76/77 for repeat and second-read situations |
| Teleradiology | Overflow and after-hours reads billed under a radiologist licensed and enrolled in Utah |
Beneath the codes we hold a 99% clean-claim rate, roughly 99% net collections, A/R under 25 days, up to 40% fewer denials, and 90% of denied dollars recovered on appeal, with claims submitted within 24 hours.
Two levers decide how much a West Jordan study actually collects. The first is global versus split billing by site of service: a read performed at Jordan Valley Medical Center is a professional-only claim carrying modifier 26, while an imaging center that owns its own scanner bills the study globally — mix the two up and the payer either short-pays or recoups. The second is the contrast-and-supervision detail that SelectHealth and Noridian both scrutinize; a with-contrast study billed as without, or a supervision level left undocumented, invites a denial on an otherwise clean read. Teleradiology adds a third: as more suburban groups lean on remote overnight coverage, the reading radiologist's Utah licensure and SelectHealth enrollment have to be confirmed for each remote interpretation, because an unenrolled physician cannot be paid for the professional component no matter how the technical side is handled.
In a commercially insured suburb, the costliest denials cluster around authorization and the professional/technical split — the two places where a busy front desk and a generic biller both tend to slip.
No SelectHealth / RBM authorization
Non-appealable advanced-imaging denial
We obtain the authorization before the scan is performed
Wrong or missing 26/TC split
Recoupment or short payment
We match the component to the actual site of service
Noridian LCD mismatch
JF edit denies the study
We align the diagnosis to the covering LCD up front
Contrast coding error
With/without-contrast mismatch denies
We code contrast and supervision to the documented order
NCCI bundling
Second service bundled into the first
We apply modifier 59 only where the edit truly allows it
Duplicate read
Rejected as duplicate
We separate legitimate 76/77 repeats from duplicates
Your revenue review shows which of these leaks is costing your West Jordan practice the most today.
Revenue review
A certified radiology billing specialist reviews your coding, unit counts, authorizations and aged A/R against the payers you actually bill in West Jordan, UT — and puts a number on what your current process is leaving on the table.
A radiology specialist will reach out within one business day.
A radiology specialist will reach out within one business day.
Practices here outsource because a commercial-heavy book only stays profitable when authorizations and coding are handled with real precision, and a general billing company spread across every specialty rarely gives radiology that attention. As a medical billing services company built around imaging, we already run the SelectHealth and RBM authorization steps, the Noridian LCD checks, and the 26/TC logic inside our standard workflow. Choosing a specialist billing services company over a generalist is, for a West Jordan group, mostly a decision about how many commercial denials you are willing to keep absorbing. We run the whole cycle:
It all runs inside our radiology revenue cycle practice — one professional team, one dashboard, and a 98% client retention rate.
We bill hospital-based radiology groups reading for Jordan Valley Medical Center, freestanding MRI and CT centers across southwest Salt Lake County, outpatient and mobile imaging operators, interventional radiology practices, and teleradiology groups covering West Jordan and the neighboring communities — South Jordan, Riverton, Herriman, Copperton, and Bluffdale. Whether you own the scanner, only the read, or both, we bill the professional and technical components to match.
Groups across southwest Salt Lake County tend to come to us after a season of slow commercial reimbursement, only to find the problem was never the fee schedule — it was authorizations obtained late, deductibles never verified, and reads billed global that should have been split. We fix the front end first, then let the dashboard keep your practice's authorizations, denials, and patient balances visible in real time, so a commercial book stays as profitable as its contracts allow.
Medical billing for radiology in West Jordan lives or dies on the commercial authorization, and 247MBS builds every workflow around getting that right before the scanner runs. We confirm SelectHealth and other Intermountain-aligned coverage, secure the advanced-imaging authorization, and split the professional and technical components correctly whether the study is read at Jordan Valley Medical Center or an office that owns its own scanner. Our coders align each ordering diagnosis to the covering Noridian JF policy and code contrast and supervision to the documented order, so a clean read is not lost to a preventable denial. For a commercially concentrated suburb, that discipline holds a 99% clean-claim rate and A/R under 25 days. Request a revenue review and see what a specialist recovers.
Start with a revenue review: we'll review your SelectHealth and RBM authorizations, your 26/TC splits, your Noridian LCD alignment, and your aging A/R, then show you what professional radiology billing can recover.
West Jordan practices are billed out of the same Utah desk. Statewide payer detail lives on the Utah page.
Utah Radiology billing services — the payer programs, authorities and rules behind every West Jordan claim.
Outsource Radiology Billing — the codes, unit rules and denials nationally, without the local layer.
SelectHealth, Intermountain's health plan, covers a large share of this commercial market and runs its own advanced-imaging authorization rules. We confirm coverage and secure the SelectHealth authorization before the scan, which is where most West Jordan revenue is won or lost.
Utah is served by Noridian Healthcare Solutions, Jurisdiction JF. Its Local Coverage Determinations decide which diagnoses support each study, and we match the ordering diagnosis to the covering LCD before submission.
Yes. Utah runs Medicaid through Accountable Care Organizations, and we verify ACO eligibility and any authorization requirement the same way we do for commercial plans, so both books adjudicate cleanly.
From solo practices to multi-provider groups, we bill Radiology for West Jordan practices with a dedicated account manager, certified coders and a live dashboard — so the units, authorizations and appeals that decide your month stop being the thing nobody has time for.
Prefer email? sales@247medicalbillingservices.com