Questions about your bill

​​​​​What billing or insurance information will I receive?

You should receive an explanation of benefits in the mail from your insurance company after they process the claim generated from your office visit. You will receive a statement from our office only if there is a remaining

balance. The information on the explanation of benefits should match the statement from our office regarding the date of the examination, procedure codes, charged amount from our office, adjusted amount from the insurance company, amount paid by the insurance company to our office and patient responsibility regarding any outstanding balance.

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How long will it take to get things settled with the insurance company?

Every insurance company is different, however we attempt to process each claim within one week of your office visit and most claims are now done electronically.  Therefore you should receive an explanation of benefits from your healthcare insurance company within 30-60 days and should receive a statement from our office, if you have any outstanding balance, within 90 days of your office visit.



Why am I getting bills from physicians?

​You will only receive a bill from our office if you have an outstanding balance based on your contractual agreement with your health care insurance company as it pertains to the services provided/procedure codes performed by our office on the day of your office visit.



I received a notice that my insurance company has paid on my bill - but I can't understand how they calculated their payment amount?​

​If you receive your explanation of benefits from your healthcare insurance company and or statements from our office and you do not understand how the procedure codes or charges were arrived, feel free to call our office and speak with one of our billing personnel.  We will do everything possible to explain the information in hopes that you will understand.  Please try not to be frustrated, the insurance companies often make it difficult to understand the process.

Participating Health Plans

Medicare

Medicaid

PPO's (All Plans)

Worker's Compensation (All Plans)

Independent Medical Evaluation (IMEs)

Compulsory Medical Evaluation (CMEs)

Expert Medical Advisor (EMA)

Letter of Protection (LOPs)

Aetna (All Plans)

Ambetter

American Community

American Medical Security

Beacon

Beechstreet

Benefit Plan Administrator

Benesight

Blue Cross (Most Plans)

Care Plan of America

CCN

Cigna (All Plans)

Dimensions

First Health

Great West

Guardian

GHI

Health Advantage

Humana (All Plans except Humana Gold HMO)

Medipass

Memorial

Molina

Multiplan

Mutual of Omaha

Neighborhood Health Plan

PHCS

Preferred Health Network

Preferred Plan

Pro Medical Plan

Starbridge

State Farm

Sunshine State Health

Total Health

Tricare Standard

United Health Care (All Plans)