| Your policy
may seem confusing, and most practitioners may not be able to inform
you about your exact benefits. Every doctor's office has access to
the same information distributed by each insurance company. This information
is preceded with disclaimers from each carrier stating that the benefit
information may not be accurate and does not guarantee reimbursement
or payment for services.
Your visit is regulated by two distinct
contracts
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| 1. Your insurance company dictates the benefits
of your unique policy. |
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2. Your insurance company dictates contracted
rate for covered services. |
Your policy may also have one or more
of the following terms affecting your out of pocket expenses:
- Deductible - Your portion
of up-front fees before your policy starts paying for services.
- Co-Insurance - Patient pays
a percentage of all or selected services of contracted fees associated
with your treatment. Co-Insurance may be capped with some policies
when a maximum has been reached.
- Co-Pay - Your portion of
payment for an office visit that is prepaid before any billing
is done.
Each policy is different, we encourage all of our patients to
check with their insurance carrier to fully understand their benefits
and financial responsibility.
As a courtesy, we bill your insurance company on your behalf and
will even challenge denial of benefits. In some situations, but
not all, we have successfully helped our patients receive benefits
for services. When a second denial has occurred, we are required
to collect payment for all services. If we do not collect the balance
of your account, your insurance company may determine this as a
breach of contract. If this determination is made, our contract
with your insurance company could be jeopardized.
We do not pre-bill for products or services in order for you to
understand your financial responsibility.
FDFAC Billing Codes and Prices
As a way to better inform our patients, we are the fist practice to provide
a Billing Code list containing the most often used codes for our practice.
Use this as a guide to better understand your financial responsibility with
our clinic.
Download
Billing Code PDF...
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