Insurance/Payment for Services
Your Responsibilities:
- Make sure you have your current insurance card with you at all times.
- Be familiar with your insurance benefits. It is the patient's responsibility to know the insurance carrier's requirements and procedures.
- Make sure your physician is listed as a participating provider in your plan's provider book.
- If your insurance carrier requires a referral authorization, contact your primary care physician prior to seeing a specialist.
- Do not schedule an appointment with a specialist until your primary care physician obtains a referral authorization from your insurance company.
- Be aware that most referral authorizations are good for a certain number of visits and have an expiration date. If your specialist requires more visits than your specified amount or if the date of the visit has expired, it is your responsibility to contact your primary care physician prior to going back to the specialist.
Usual and Customary Rates
Your insurance carrier may claim that your bill exceeds the usual and customary rates for a specific type of service. Please understand there are no usual and customary rates. Each insurance company determines how much it will reimburse for different medical services, and those rates vary widely. The Emory Clinic determines the charges for your care based on knowledge of your treatment.
Collection
If all reasonable attempts of collecting payment fail, Urology Center of Columbus reserves the right to use the service of collection agencies or attorneys.
Referral Authorizations
Most managed care insurance companies, Health Maintenance Organizations (HMOs) or Point of Service plans (POSs) require a referral or authorization from your primary care physician for you to see a specialist. It is your responsibility to be familiar with your insurance coverage and know whether or not your insurance carrier requires you to have a referral authorization. If your insurance carrier does require a referral authorization from your primary care physician, please let your primary care physician and staff know. If your insurance carrier requires a primary care physician referral and one was not obtained, you may be responsible for payment of services rendered.
Payment for Services
Patients are requested to pay at the time of service unless prearranged by our financial staff. We file your insurance and work with you in parameters of your insurance plan to help you receive the maximum benefit from your coverage.
We now offer Care-Credit, Patient Payment Plans, the leader in patient financing. With this plan, you can begin your treatment and care immediately and pay over time with low minimum monthly payments. Please go to http://www.carecredit.com/ for more information.
Any Questions?
If you have any questions regarding your insurance coverage, please contact your insurance carrier.
If you need us to help you understand your coverage, please call our office at (706) 324-7700 ext. 232 or email greenv@harperurology.com.