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We work with a variety of insurance plans that we bill directly. If you are covered by an HMO or PPO, your plan may have special requirements such as pre-authorization for certain procedures.
Your insurance policy is a contract between you and your insurance company and it is important for you to know the details of it, including co-payments, deductibles and other provisions. If you have questions relating to your individual insurance plan, please contact your health plan’s member services department. This phone number usually can be found in your benefit plan booklet or on your identification card.
During registration, we will ask you for information to assist with accurate and timely billing. Please bring your identification, all insurance cards and authorization/referral forms to your visit. We will ask you to sign a release of information, assignment of benefits and possibly additional forms depending on the nature of your visit.
If you have been a patient at Community Medical Centers in the past, please inform us if any personal or insurance information has changed since your last visit. Missing information could shift the responsibility for payment entirely to you.
Most insurance companies issue the patient and the service provider an explanation of benefits when the provider files an insurance claim for services rendered. The explanation of benefits lists the services rendered, information on how the claim was processed and paid by the insurance company, and the amount due to the provider from the patient, if applicable.
After we receive payment for a claim from the insurance company, we will bill the patient and/or guarantor for any patient share due.