Billing and Insurance/Responsibility for payment

We participate with and directly bill to all insurance companies we participate. However, the patient is the primary and ultimate responsible for payment of services rendered.

On the day of your first visit, evidence of current insurance coverage, your insurance card, and a picture ID is required. Payment for any co-pay is the patient’s responsibility and due at time of service. Co-pay varies based on your plan. We accept cash, check as payment methods. If you do not have insurance coverage, payment in full will be required at the time service unless arranged with our office in advance. To find out the likely charges for your scheduled visit, please call our office during normal business hours.

Referrals and pre-authorization:

Some insurance programs require a referral from your Primary Care Doctor. Your primary physician should provide you with the written referral order. Pre-authorization by the insurance carrier may also be required in order for insurance coverage to be provided. Our staff will assist you in obtaining any necessary preauthorization.

Please remember it is always the patient’s responsibility to assure that proper referrals and any required preauthorizations are obtained. If you are not sure what you need, please contact your insurance company.

Insurance programs with which we participate
We participate in PPO, POS and select HMO programs of the following insurance companies:

 

Aetna
Anthem BCBS VA/Health Keepers
Medicare
Health Keepers Plus
Carefirst BCBS NCA, (GHMSI)
Capital Care
Mail Handler
United Health Care
NCPPO
Tricare
Optimum Choice/One Net
MAMSI
PHCS

NPI 1235156084

UPIN F61774

If your insurance company is not listed, please contact the billing department to see if we have recently added it to the insurance programs in which we participate.