We are contracted with several different plans including PPO's and HMO's. As a courtesy, we will file the medical claim directly to the insurance plan.
Please advise our office of any changes to your insurance at the time of your visit. If you fail to do so, the balance will be your responsibility. We are contracted to file claims within 90 days, sometimes 30 days with specific carriers. We will not be held accountable if you fail to give us an updated insurance card or information.
If your insurance denies your claim because they require additional information from the member, please provide the information to the insurance company as soon as possible. The full balance will be transferred to you for payment until that information has been updated and we have been notified.
It is always the patient's responsibility to contact the insurance company to verify that our physicians are participating with the insurance plan and that services will be covered.
Healthcare Reform-Marketplace or Exchange Plans (aka Obamacare) has created several new plans and will continue to add additional plans - There is always a possibility that you will need to transfer care due to plan requirements and we will help you with this transition. Of note, If your premiums are not paid - you will be required to pay all charges or estimated charges up front.
We will bill your insurance company for our services on your behalf. However, you remain solely responsible for the bill and must take any steps necessary to ensure that your insurer pays its share of these services. If your insurer fails to pay, you will be held responsible for full payment of all charges, unless limited by law. Keep in mind as a function of your insurance, you may have a financial responsibility for part of a service.