What to Expect When Paying with Insurance?
Step 1: Post-Appointment Completion
Following your appointment, our medical team and billing professionals finalize the details of your visit to ensure accuracy.
Step 2: Submission to Your Insurance
We promptly submit a comprehensive claim to your insurance provider, detailing all the services rendered during your visit along with their associated costs.
Processing Time: Typically, insurance companies take a few weeks to process claims. During this period, they carefully assess the services and determine the coverage amount based on your insurance plan.
Step 3: Response from Your Insurance Company
Explanation of Benefits (EOB): Once your insurance processes the claim, you and our practice receive an Explanation of Benefits (EOB). This document is informative and not a bill; it delineates the billed services, the extent of coverage by your insurance plan, and any outstanding amount, such as deductibles, co-pays, or co-insurance.
Payment to Practice: Simultaneously, the insurance company directly remits payment to us for the services covered under your plan.
Step 4: Your Portion of the Payment
Calculating Remaining Balance: After receipt of the EOB and payment from your insurance, we calculate any remaining balance. If you paid an estimated cost during booking, we apply that against any outstanding balance.
Patient Statement: If a balance remains, we generate and dispatch a patient statement via email, supplemented by push notifications, text messages, or mail.
Payment Options: Conveniently settle your balance online using your credit card, debit card, Google Pay, Apple Pay, or HSA or FSA cards.
Tips for a Seamless Process
Keep Information Updated: Ensure your insurance and contact details are current on your profile to prevent any delays or inaccuracies in billing.
Understand Your Insurance Plan: Familiarize yourself with your plan’s deductible, co-pay, and co-insurance specifics to anticipate potential out-of-pocket expenses.
Review the EOB: Carefully review the Explanation of Benefits upon receipt. For any discrepancies or uncertainties, reach out to your insurance company for clarification.
Contact Us for Assistance: Should you have inquiries about your bill or require assistance, our dedicated billing department is available to provide support.
