Managed
Care ResponsibilitiesManaged Care has become a
growing healthcare trend in our society. To better serve you, the following
guidelines have been developed for our office:
YOU are responsible for:
- Having your insurance enrollment card available at every
visit
- Providing the necessary information required for primary
filing of your claim
- Providing a copy of your most recent EOB indicating if you
have met your deductible
- Pay your required amount at the time of every visit
- Notify us of any change in your managed care/insurance plan
and any change in benefits
- Contesting non-covered claims with your managed
care/insurance and refiling if you desire
- Filing of secondary managed care/insurance if you desire
- Full payment within 30 days of all services transferred to
patient responsibility, even if secondary filing by you is pending
CHILDREN'S CLINIC is responsible for:
- Filing your claim once with the managed care/insurance
company that you have given us as your primary coverage
- Posting payments received to your account and if there is a
valid credit balance due you, it will be applied to your next visit or refunded to you
upon your request
- If the Explanation of Benefits (EOB) indicates that there is
no payable amount from managed care/insurance, the amount will be transferred to your
responsibility
- Following up with your managed care/insurance if no payment
and no denial is received
- Review all delinquent balances for collection service action
See current
Health Care Plans
that we accept.
Payment Policy
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