If your insurance does not show a claim it could be for one of these reasons: 1. We do not have the correct insurance information on file and claims are going to the wrong payer. 2. The information in our system doesn't match the information in the payer's system so claims are being rejected. 3. Claims are being lost. We send claims electronically, so if a payer doesn't show a claim on file it … [Read more...] about Why did I get a statement when my insurance doesn’t show that you sent a claim?

There are different rules insurance companies follow to determine who should be paying as the child's primary insurance and who should be paying as secondary. Here are a few more popular approaches: 1. In most cases, insurance plans follow the "Birthday Rule" - The policyholder whose birthday falls first in the calendar year will have the primary insurance. 2. If the same person holds two … [Read more...] about If we have two insurance plans, how do I know which is primary and which is secondary?

Eligibility lists are sent to us every month and change frequently. To be sure that we have your most current coverage information on file, we require a copy of your child's card at every visit. Eligibility is always checked prior to all services. … [Read more...] about Why do you need to see my insurance card at every visit?

It can take up to 2-3 weeks for your insurance to update their records after receiving your Insurance Change Form, adding your newborn to your policy. Since claims are sent automatically, it may be denied because the carrier has not yet updated their records. Once the baby has been added, most insurance companies will do a search for denied claims. Once you have confirmed with your insurance that … [Read more...] about What if my newborn’s claims are denied?

It is impossible for your medical provider's office to know all the details of your insurance plan. Each employer that offers health insurance to its employees has a unique contract with the health insurance company. Thus, there are thousands of subtle differences even within the same insurance carrier. Even your insurance will not guarantee coverage prior to the claim being processed. If you … [Read more...] about How do I know what is covered by my insurance and what is not covered?

Yes. We do accept self-pay patients. There is a discounted fee schedule available to patients who will be paying for services out-of-pocket. … [Read more...] about Can I still be seen if I don’t have insurance?