BILLING QUESTIONS
Q. Will I require a referral from my primary care physician before I begin with visiting the Epic Heart and vascular care?
A. It depends upon your insurance plan. For instance, if your plan requires a referral for specialist visits. In that case, it is going to be your responsibility to obtain this through your primary care physician prior to your visit.
Q. What insurance providers do Epic Heart and vascular care accept?
A. Call us at 940-230-2580 to check out whether Epic Heart and Vascular care accept your insurance or not.
Q. How can I speak with a practice administrator?
A. Our Practice Administrator she may be reached by phone call to either office location.
Q. Why are you inquiring about my deductible, coinsurance, or copayment at the time of my visit?
A. As we do not bother our clients by sending payments to them regarding financial issues, that’s the reason why we ask about deductible and coinsurance or copayment. Our financial policy enables us to collect patient payment before the service is rendered.
Q. I paid at the time of my appointment. Why do I get a bill?
A. There are some common reasons why this is the case.
- It may be possible that a few days get consumed for the payment to be processed and charged against the cost of your visit. If you think this is the case, the best choice is to contact the provider listed at the top of your bill.
- Assume you have made a co-payment at the time of your appointment. In this case, additional co-payments may apply after your health insurance company has processed the payments. Keep the receipt(s) for all charges, and contact the provider on the statement if you have further questions.
- It’s possible that payment was made as a deposit during check-in, and a statement for the outstanding balance was delivered (after your health insurance company has processed the claim). Again, the best way to get a complete explanation is to call the provider named at the top of your statement.
Q. I have two health insurance plans. Why do I have a balance?
A. The first health insurance plan’s deductible must be fulfilled first. Then secondary health insurance plan will pay for treatments. To verify that both health plans have been billed and the deductible calculation is correct, contact the provider(s) listed at the top of your statement or your health insurance company directly.
Q. How can I know how much I have to pay?
A. Your insurance company will send you an Explanation of Benefits (EOB) showing the amount paid, any amounts not covered or denied, and the remaining balance due for Epic Heart and Vascular Care
Q. How often do I receive a statement?
A. Statement is sent out each month after payment is received from your insurance company
Q. I am being asked to pay money even I had prior authorization for my medical service(s) at Epic Heart and vascular care.
A. Even if you have authorization for a service, you may still have financial responsibility. Your health insurance coverage determines the amount you owe. Epic Heart and vascular care verify your insurance eligibility and benefits, then determines your financial responsibility. Your policy may require a copayment, deductible, share of the cost, and out-of-pocket maximum to be met before coverage is effective.
Q. What if I overpay my bill?
A. We will work with you to resolve any billing discrepancies. If there is an overpayment on your account, it will be applied to other open self-pay balances. A refund of any remaining overpayment will be sent to the patient/guarantor. Assume the overpayment is from a credit card. In this case, a return for your overpaid bill will be received by the credit card issuer as a priority. Otherwise, a cheque will be dispatched to the patient/guarantor. Please allow six to eight weeks for the overpayment to be processed.
Q. How will my payments be posted to my account?
A. If you have a payment plan, each payment is first applied to the payment plan to maintain it. Charges are then applied to the oldest outstanding balance
Q. I do not have insurance. How will you bill me for the charge?
A. If you do not have health insurance, Medicare, or Medicaid, we will send you a bill for the balance unpaid when you receive services. Please pay the bill or call us to arrange payment arrangements once you receive the invoice.
Q. Why did my insurance deny my claim?
A. The insurance company should notify you directly if a claim is denied. If you have not received an EOB, you should contact your insurance company directly.
The most common insurance claim denials are:
- You did not get the insurance on the date of service.
- The service was provided by a doctor/facility outside your insurance network.
- The service you received does not apply to your plan.
- Your insurance company requires additional information from you.