Frequently Asked Billing Questions
Q: Do you accept my insurance plan?
A: Since participation insurance plans changes frequently, please refer to your insurance plan directory or call your insurance company to determine if we are “in network” or “out of network” with your insurance.
Q: Do I need a referral to be seen by one of your physicians?
A: Many PPO’s, HMO’s and EPO’s require a referral from your primary care physician. Please check with your insurance plan if you are unsure.
Q: Whose responsibility is it to get my referral authorization?
A: It is the patient’s responsibility. As a courtesy we will try to assist you in obtaining referrals.
Q: Do you accept assignment from Medicare?
A: Yes.
Q: If you are not contracted with my insurance plan, will you bill them?
A: Yes, as a courtesy we will bill them, however, the patient is ultimately responsible for payment.
Q: As a patient, do I have any responsibilities when my insurance company does not process or is slow in processing claims?
A: If medical claims are not paid within 45 days from billing, it is the patient’s responsibility to help follow-up with the insurance company.
Q: If my insurance doesn’t pay, am I liable for the bill?
A: Yes.
Q: Will you bill my secondary insurance after my primary carrier has paid their portion?
A: Yes, as a courtesy we will bill the secondary insurance.
