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Insurance Information
- Preferred
Provider
-
- Definition of preferred provider
- a physician or group of physicians who have a signed contract with an
insurance company whereby the physician is reimbursed a certain
percentage of the charge.
We are a preferred provider for most
insurance covering employees in Lincoln County. If you cannot find Dr.
Huntwork on your preferred provider list in the booklet provided by your
insurance company, please call us prior to your appointment. We will
then verify whether or not you will be eligable for your insurance
company.
- Referral -
- Definition of a referral -
documentation by the primary physician through your insurance company
authorizing you to see us.
It is your responsibility to be sure that any
required insurance referrals have been taken care of prior to
your appointment. If you are unsure if you need a referral, please contact
your primary physician or your insurance company.
- Verification
of Benefits -
Prior to any surgery, you must verify your
benefits with your insurance company i.e. make sure your insurance company
covers the proposed surgery or procedure.
- Preauthorization
-
- Definition of preauthorization
- approved by your insurance company to proceed with a surgery or
procedure.
Most procedures or surgeries require
preauthorization from your insurance company. You must verify that this is
done by the physician who will perform the procedure. Obtaining
preauthorization does not guarantee that your insurance company will pay the
bill.
- Denials -
- Definition of denial - when
your insurance company refuses to reimburse the medical charges.
More and more insurance companies are denying
charges as a standard practice in order to delay payments. However, we can
circumvent this by submitting your bill without mistakes.
You can help us prevent denials by the
following:
- Provide your insurance cards at each
visit. (The insurance companies continually change the address on your
card to which you send the bill)
- Keep us updated if you have any address or
telephone changes.
- Speak with your insurance company and
verify coverage, referral and preauthorization prior to visits and
procedures.
- Contact your insurance company or us if
the insurance company wants any further paperwork or asks questions that
you don't understand.
- Copays -
- Definition of copay - amount
you must pay out of pocket at the time of your medical visit.
Your insurance card will indicate your copay.
Please pay your copay at the time of your visit.
- Billing -
Once your insurance has paid their part, you
may be responsible for a balance. We are glad to work with your financial
status any way we can. However, if you don't communicate with us, we cannot
work with you. Please call our billing office for payment arrangements at the
following number:
509.725.7501
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