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We accept most major insurance plans. We have also been designated as a select Tier 1 provider for United Health Care, Aetna, Blue Cross/Blue Shield, and Humana. This means that we have agreed to charge less money for our services when working with these insurance companies.
For the convenience of our patients, we also accept credit cards, checks and cash.
Every symptom, medication, diagnosis and service related to your care is assigned a code. Our billing department uses these codes to process claims and request payment from your insurance company on your behalf.
The types of primary services include office visits, procedures and durable medical equipment:
Office visits:
Procedures:
Durable Medical Equipment (DME):
After your office visit, our billing representatives will process your claim. Your insurance company will respond in one of the following ways:
Sometimes this process can get delayed and patients may feel frustrated or confused. Please know that we are working hard to get the issue resolved, and are always here to answer questions or to provide status updates.
You will receive a statement after your claim has been fully processed which will reflect any balance that may be due. Scheduled correspondence from our billing department will be as follows:
If your balance due is 121 days past due or more, you will be contacted by our 3rd party collection agency which, unless otherwise prohibited by law, is authorized to contact you via:
Insurance carriers have negotiated contractual rates that dictate health care payments for services and goods we provide: 54% is based on the physician’s work, 41% is based on practice expense, and 5% is malpractice expense. Rates will vary depending on which plan you have.
Medicare and Medicaid have their own non-negotiable, set fees which are determined by state and federal governments.
Any amount you may owe as reflected on your statement depends on benefits determined by your insurance carrier and plan. We do not reduce any balance due. It would be illegal for us to waive any co-pay or reduce the deductible you need to pay as determined by your insurance carrier. Reducing payments for Medicare or Medicaid patients violates Anti-Kick Back statutes and the Stark Law, as well as the ERISA act if you are under your employer’s plan.
We want to make sure that every patient receives the care they need. In that spirit, we may offer payment plans to certain patients. These payment plans require a credit card to be placed on file, which will be charged on the due date if the payment has not already been made through other means.
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Our office will be closed Wednesday, November 13 – Friday, November 22
If you’re having an emergency, please go to the nearest emergency
department.
If you need to pick up an item, we’ll be here 1:00-3:00 pm
Monday-Thursday and 12:00-2:00 pm on Friday.
We apologize for any inconvenience and appreciate your understanding.