After completing the insurance billing consent form, I will submit your treatment using the online insurance portal. After this, a few different scenarios are possible.
In a perfect world, the online portal will confirm with me with the exact amount that your benefit plan will pay and you will be required to pay the remaining portion, if any.
Depending on your insurance company, some claims will only receive a claim acknowledgment, not a confirmed explanation of the exact amount covered. In these cases, I are still able to submit the claim on your behalf, but the payment will be paid directly to you. This means that you will be required to pay the full amount up front and I will provide you with a receipt for your records. This will also apply to any cases in which the insurance company pays the member directly. Payment for treatment must be made upfront, but I will still be happy to save you the time and effort and submit the claim on your behalf.
If, for some reason, the insurance portal is down, you will be required to pay the full amount of the treatment upfront and will be required to submit your claim manually to your insurance company. Despite my best efforts, I cannot guarantee direct billing at every appointment. Factors that could affect direct billing availability include: individual insurance plan attributes, problems with the submission portal, or clinic administration considerations.
PLEASE BRING AN ALTERNATE MEANS OF PAYMENT IN THE CASE THAT DIRECT BILLING IS UNAVAILABLE AT THE TIME OF YOUR TREATMENT.
Thank you in advance for your patience with the direct billing process. My intent is to provide a seamless and convenient process.