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Billing Policy:
Relationships between providers of medical care and the
insurance companies are complex and require persistence. We make
a reasonable attempt to collect our charge from the insurance
companies. It is reasonable to expect the Patient/guarantors to
be in touch with the billing staff to discuss your account
periodically.
Guarantor:
Address and telephone number
Insurance carrier and identification number (s)
Billing Process:
1. We immediately file claim with the insurance company for
reimbursement of medical care provided.
2. If we receive full payment from the insurance company, we
close the case.
3. If we receive partial payment from the insurance company,
co-insurance and deductibles, determined by the insurance
company will be billed.
4. We bill patients for accurate or more complete insurance
information for denials. If the patient is responsive to our
requests, all is well.
After couple of attempts, if there is still NO response, we MAY
assume the unpaid charges are parent‘s responsibility.
This can be avoided either by sending appeals to the insurance
company for inadequate reimbursements or make arrangements for
monthly payment plan.
If all fails, the account will be transferred to a third party.
Most of our patients are making payments promptly and this will
avoid in the near future as well.
Final Note:
We just want to be open and honest about what the billing
process is.
If you think there is an error with your account or have
questions about your bill, please contact us as soon as possible
at
978-975-0990.
We must hear from you no later than 60 days after your first
bill is sent on which the error problem appeared. 1. We have
fully trained in house staff with fully automated billing
system. Please update the following as changes occur:
You can telephone us, but doing so will not preserve your
rights. In writing, give us the following information: your
name, account number, the dollar amount of the suspected error,
the posting date of the transaction in question, and an
explanation of why you believe there is an error. If you need
more information, describe the item you are unsure about. Please
be sure the person responsible for the account signs all
correspondence.
Because we are contracted with your insurance to help keep your
insurance costs down, as part of that effort, our agreement with
your insurance carrier states we will collect one co-pay per
child at the time of each visit. Some carriers do not assess
co-pays for well child visits. If you are sure that yours does
not, please inform the front desk at the time of check in.
Billing FAQ
Our office participates with many of the major plans, please
refer to our participating insurances tab on the top of our web
site.
It is always wise to verify current participation for any
physician with your plan customer service. You can also call
one of our billing staff and we will be happy to assist you.
Q. Do you submit insurance claims for us?
Our billing department will make two attempts to obtain payment
from your insurance carrier. We submit your claim once you have
been seen and then again in 30 days if no payment is made by
your insurance carrier. At 60 days if no payment is received by
your insurance, we will then bill you and ask that you assist us
in following up with your insurance plan.
Q. Will a co-pay be collected at each visit?
yes
Q. Does your office participate with my insurance plan?
See out list of participating insurance carriers
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