Yes. Call us at the phone number shown on your statement. We can tell you what payment plans are available. Then make the agreed payments. (This will go on our file.) If you don't pay and don't make arrangements, your account may go to a collection agency and this information may go on your credit report. Then you might be turned down for credit (not be able to get a loan to buy a house or car or get new credit cards) for the next several years.
You don't need to notify your health care provider yet, but it would be a good idea to let us know about your new coverage so that we can file any claims you have with the appropriate insurance organization. If you wait, it could take longer to process a future claim. You can do it easily by going to Insurance Information on this site and following the prompts. Or, write us at the billing address shown on your statement.
Go to the Resources tab on this site. There you'll find a short list of the most common medical billing terms. If your word isn't there, look for it in your insurance policy and explanation materials. Or, call your insurance organization and ask for clarification.
A radiologist's bill is for reading the x-ray. A pathologist's bill is for interpreting the specimen sent to the laboratory. A surgeon's bill is for consultation and performing surgery. An oncologist's bill is for consultation and treating cancer. An anesthesiologist's bill is for administering anesthesia during surgery or a procedure. These are a few of the most commonly used specialists.
Please pay the amount due shown on your statement within 30 days of receiving your statement. If it reaches us after 30 days, it's considered past due. If your statement shows a specific due date, send your payment in by that date.
We don't show treatment and diagnosis information because we handle only the billing portion of the medical process. If you have questions about your treatment, diagnosis or other medically-related questions, contact your health care provider.
How you're billed depends upon how your health care provider is set up for billing professional and technical services. Sometimes your health care provider bills for both and sometimes only for one part of the procedure. For instance, you may receive bills from the hospital, an anesthesiologist, a radiologist, a surgeon and your doctor - all for the same procedure.
The hospital bills you for the use of their facility and the supplies used during your stay. The physician or specialist bills you for services that he or she performed. For more information about billing, go to The Billing Process
There are many reasons why claims aren't paid.
• Your insurance organization might not have accurate information to process the claim. Compare insurance information on file with information on your insurance card. You can do this easily by going to My Insurance Information on this site to see what's on file. Follow the prompts to make any primary or secondary insurance changes. After you submit changes, your claim will be automatically re-filed with the new information.
• If the information on file was correct, your insurance may have applied the amount to your deductible, your policy may not have covered your services, your insurance may not have been in effect, or your insurance organization may need more information to process your claim.
Your insurance organization should've sent you an explanation of benefits that explains why they didn't pay — and informed you if they need additional information.
There can be many reasons for this. For example, many insurance organizations have a specified amount that they pay per procedure regardless of what your physician charged. In some cases, you're responsible for this difference. Other reasons could be: your procedure could have been an ineligible expense, your deductible may not have been met, you may have supplementary (secondary) insurance or you're expected to pay a certain percentage or dollar amount of the cost.
The medical billing process is a complicated one. Many steps are taken between the time you receive medical services and when you get your bill. Your health care provider, your primary and secondary (if any) insurance and the billing office/agency work together to coordinate payment. To save time and money, you are not notified until all parties have reviewed and coordinated payment. This may take two or more months
Sometimes the insurance organization only allows a certain amount for a charge. When the health care provider accepts the payment, he or she agrees to that amount. For instance, a health care provider performs a service for $50. But Medicare only allows $40 for that service. The difference is $10, which is written off. Then Medicare pays 80% of the $40, which is $32. The secondary insurance or the patient pays the remaining $8.
Your other procedures may have been performed by a health care provider who doesn't use this billing agency. Then, you'd receive a separate statement from him or her. Or, you may have been billed only for the part that has been resolved and determined to be your responsibility. In that case, you'll receive a statement after charges for the other procedures have been reviewed and resolved. Please pay each statement promptly.
Yes, we'll bill your primary insurance organization, but we need this information: your insurance organization's name and address, your policy and group numbers and the policyholder's name and employer
Yes, we'll bill your secondary insurance organization, but we need this information: your insurance organization's name and address, your policy and group numbers and the policyholder's name and employer.
This is to compensate the pathologists for services performed in the clinical laboratory such as quality assurance, evaluation, interpretation and clinical relevance of new laboratory test (eg: blood chemistries, hematology, microbiology, blood bank) as required by law and performed either by the pathologist or the people under his supervision.
No, the bill you received from the hospital is purely a hospital charge and is referred to as the technical component of pathology, whereas the bill from the pathologists is referred to as the professional component. The technical component is used by the hospital to help pay nurses, technologists, and other people who are responsible for the day-to-day running of the hospital. The technical component is charged on your hospital bill and the professional component is charged separately by the Pathologists.
Unfortunately, the explanation of benefits provided to you by your insurance company may have created the incorrect impression that some professional pathology services are included in the hospital bill. In fact, such services are a form of patient care for which the physicians are not recognized and compensated at all by the hospital.