Billing and Insurance

Our goal is to help you maximize your insurance benefits and minimize any billing and insurance issues. We have designed a billing process that makes it easy for you to use your insurance benefits and clarifies some of the common concerns about billing and insurance.

The unique nature of our practice and the time and attention we give our patients limits our ability to “participate” with insurance companies.  Our practice is considered an “out of network” provider.

If you have:

Commercial Insurance (non Blue Cross / CareFirst / Anthem):

1.       You have an office visit

2.       We submit an electronic claim to your insurance company

3.       Insurance company pays us and sends us an explanation of benefits (EOB) statement

4.       You will also receive an explanation of benefits (EOB) statement

5.       After 30 days we bill you for any remaining balance on your account
 

Blue Cross / CareFirst / Anthem:

1.       You have an office visit

2.       You pay our fees at the time of service

3.       We submit an electronic claim to Blue Cross / CareFirst / Anthem

4.       Blue Cross / CareFirst / Anthem sends you a check and an explanation of benefits (EOB)

Medicare

We have opted out of the Medicare program. Medicare patients pay at the time of service for their office visit. Most labs are covered by Medicare. Patients referred out for radiological and specialty services are covered under Medicare. Patients can file with their secondary carrier.

Tricare

We do not take part in the Tricare program. Patients pay at the time of service for their office visits.
 

FAQ’s

“What is the best way to contact SMA billing department”?
Please email questions to billing@caringdoc.com

“How much does my insurance pay”?
Most carriers allow 75 to 100% of our charges.

“What if my insurance does not pay by 30 days?”
You are responsible for payment and contacting your insurance carrier. State law requires insurance companies to pay within 30 days