Frequently Asked Insurance, Billing Questions
1. Do I need a referral?
It is your responsibility to understand the provision of your policy. Some insurance plans require you to have a referral or Primary Care Physician Script. If you are unsure please read your policy, if you are still unsure please call your insurance companyâ€™s customer service department.
2. What is my responsibility for Office Visits, Allergy Testing, Immunotherapy and other procedures?
All insurance policies are different. Please call your insurance company and ask what your benefits for specialist copay, allergy testing, and allergy injection visits are? You can also call the office and ask the receptionist to have the information you received verified before your appointment.
3. Will I be required to pay my copay, coinsurance and/or deductible?
Every insurance plan is different and you will be required to pay your copay at the time of service. If you have a coinsurance and/or deductible you will need to pay this when the insurance sends an explanation of benefits with your responsibility amount listed. If you know what your coinsurance/deductible amount is you can pay this at the time of service as well. We accept cash, check, money order and credit cards (Visa, MasterCard and Discover Card).
4. What insurance plans do you participate with?
We participate with most insurance plans. Please go to the billing section.
5. What if I donot have insurance?
We accept patients without insurance. Please call the office for our self pay fees. All self pay patients must pay the same day for services rendered.
6. Who do I contact if I have a question about a claim billed to the insurance company or a statement I received?
Please call and ask for the Billing Manager @ 973-627-1000 or 908-813-0230.
7. Will you file claims to my health insurance for my services?
Asthma & Allergy Care will submit claims on your behalf to your primary and secondary insurance company, but the full payment of the account remains the responsibility of the patient. We accept payment directly from an insurance company, any amount billed but not paid by insurance is the patientâ€™s obligation. Heath insurance contracts are agreements between the insured and the insurance carrier. Please pay the remaining balance and contact your insurance if you believe there is an error with the claim.
8. How do I obtain a copy of an itemized bill?
You can call the office and ask the receptionist for a copy @ 908-813-0230.
9. Who do I contact to update and/or re-bill my insurance?
Please call the office and give your new insurance information (please have your card available when you call).
10. What should I do if my insurance denies a claim?
If you feel a claim was denied in error, please contact your insurance carrier and have the claim reprocessed. Please obtain a reference number from the insurance carrier and call the office and forward the information to the billing department or you can call the office and speak to someone in the billing department to have the claim reprocessed.
11. If I am unable to pay the full amount of my bill is it possible to make payment arrangements?
Normally we do like the bill paid in full when the services are rendered or when we receive the explanation of benefits from the insurance carrier and we forward a statement to you. However do to special circumstances you can call and ask to speak to someone in the billing department to make arrangements for a payment plan.
12. What if I wanted to have some or all of the services associated with a visit treated confidentially so they are not billed to my insurance?
We will put your account as self-pay. You will be required to pay for all services rendered at the time of service as if you had no insurance.