In Network Insurances:
The following should shed some light on our insurance and billing process and provide a means for you to ask questions to your carrier or us about your services and fees. We send all our claims electronically and receive verification right away, of receipt, much like a certified letter. We then track all our outstanding claims weekly, investigate, and resubmit any problem claims. You are notified at 45 days via a form letter or computer call about the need to get involved as we are having difficulty with the claim. In order to accept the discounted PPO insurance, our accounts must be resolved in full at 60 days. Our process ensures that we have sent all narratives, documentation and radiographs.
Our office tries to help patients with insurance information, as much as possible, but the contract with the insurance company is dictated by the employer, and policy holder. All Coverage is different, and the contract is between the patient and the insurance company. We are considered a third party and have limited access to insurance policy information-so the patient needs to be aware of their policy limitations, and exclusions, deductibles and co-pays- and we cannot be held responsible for services denied or not covered.
We understand that due to security or privacy concerns some of our patients may not wish to provide their social security number or home address or even other information needed for insurance claims processing. We cannot receive reimbursement from the carrier despite any claims that the insurance number does work. In this situation, we ask for full payment at the time of service, we will print the needed insurance forms and documents for you to send in for reimbursement to you.
*Due to the vast number of insurance plans, listed above are the more common plans. To verify your insurance eligibility, please call the office.