Apply to the panel. Credentials first, conversation second.
Boards, licenses, modalities. The panel team replies within one business day with the terms and the per-read payout schedule for your subspecialty.
Between them, the radiologists on the panel hold active licenses in all 50 states. Every read is performed inside the United States, coverage runs 24/7/365, and professional liability insurance is carried for panel reads. AstraRad has been operating since 2020.
Board certified
Certification by the American Board of Radiology or the American Osteopathic Board of Radiology, with subspecialty fellowship training.
Licensed where you read
An active unrestricted license in every US state whose patients you read. The panel already holds licenses in all 50.
Reading inside the US
A reading location inside the United States. That is a payment condition rather than a preference: Medicare will not pay for an interpretation performed abroad.
Insurance carried
Professional liability insurance is carried for reads performed on the panel. The terms come with your panel agreement.
Why radiologists read from home, on the evidence.
The model is proven, and institutions kept it.
When the pandemic emptied reading rooms, 65 percent of surveyed institutions stood up home reading environments and 74 percent moved routine daytime shifts to internal teleradiology. They measured the results and kept the model: 96 percent of radiologists reported similar or improved turnaround from home (Alhasan and Alhasan, 2025 review).
Scheduled shifts, because fatigue is measurable.
Diagnostic accuracy fell from 0.926 to 0.806 after a night of continuous reading in a peer-reviewed study (Hanna et al.). AstraRad runs nights as committed, scheduled shifts with a fixed rest interval, so the reader on the 3 a.m. head CT is mid-shift and rested. Your shift pattern is agreed in writing before you start.
A worklist matched to your training.
Routing runs on modality, body part and subspecialty, so the studies that reach you sit inside your fellowship. The narrowness is deliberate: it is the mechanism that keeps the published discrepancy rate low, and it means your read count builds depth in your own field instead of breadth in everyone else's.
The honest trade.
Payment is per signed report, on the schedule the panel team sends with its first reply. No commute, a station you control, and hours you set. What this is deliberately NOT: an institution with teaching and committees. It is a reading practice; if you want maximum case variety on a general worklist, panel reading will feel constrained, and it is better you know that before applying.
How the reading operation is structured is on the panel page, and the measurement method behind every published figure is at /sla.