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 parents/guarantors to be in touch with the billing staff to discuss your account periodically.
Parents/Guarantor:
Address and telephone number
Insurance carrier and identification number(s)
Enrolling the new born if applicable
Also promptly respond to our follow up insurance claims related questions, etc.
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 732-458-5010. 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 copay per child at the time of each visit. Some carriers do not assess copays 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 copay 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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