Questions & Answers
Q: What is an account in good standing?
A: An account in good standing has consistently been paid in a timely manner, has not been sent to collections and has not defaulted on a payment plan.
Q: How do you bring an account back into good standing if you have defaulted on a payment plan?
A: You will be required to pay your estimated patient responsibility and any defaulted payment in full before your next visit.
Q: How do you bring an account back into good standing if your account has been sent to collections?
A: You will be required to pay your estimated patient responsibility and any collection balance in full before your next visit.
Q: What questions should I ask my insurance carrier regarding my upcoming visit?
A: You should ask:
- Are all providers in-network (the facility, physician, anesthesia, etc.)?
- Does this procedure require an authorization or referral?
- Does this procedure have medical necessity criteria that need to be met?
Q: What is “estimated patient responsibility” and how is it calculated?
A: “Estimated patient responsibility” is the amount we anticipate you will owe. It is calculated prior to your visit based on the procedure codes scheduled by your physician and your insurance benefits. We evaluate your remaining deductible, out-of-pocket, co-insurance, co-pays and health savings account, if applicable.
Q: Why do I have a different patient responsibility after my visit?
A: Scheduled procedures may vary from billed procedures. Insurance carriers may apply more or less to patient responsibility based on processed claims.