Insurances Accepted at Natura Medica (new office location)
- Anthem BCBS
For Integrative Family Health & Wellness, llc patients seen from 2012 through January 15, 2014:
Please remember that regardless of any statements by your insurance company, YOU are ultimately responsible for any and all fees for services rendered at this office. It is standard practice for insurance claims to be paid or denied within 30 days of submission. If your insurance company has not paid within 120 days, YOU ARE RESPONSIBLE FOR ANY BALANCE DUE ON YOUR ACCOUNT.
We are required to break down every aspect of your treatment into as many different CPT codes as applicable. Every insurance company processes claims differently. When you receive an EOB (Explanation of Benefits) detailing filed claims, the breakdown may or may not be as we submitted it. This office has no control over the processing of claims by any insurance company. We submit claims the same regardless of the insurance carrier. Each insurance company will apply the contracted fee accordingly. Please keep in mind that the patient is not responsible for the difference between the amount charged by the health care professional and the amount allowed by the contract. However, the patient is responsible for any coinsurance amounts and amounts over the annual benefit limits for this service, up to the eligible expense; as well as any deductible. If your policy requires a deductible, you will be responsible for treatment fees at the time services are rendered until the time your deductible is satisfied. The billed fee may or may not be applied to your deductible - ONLY YOUR INSURANCE CARRIER determines that. YOU are responsible for any and all copays or coinsurance payments at the time services are rendered. If your policy requires a referral of any kind, YOU must arrange that referral BEFORE beginning treatment at this office.
This office also has no control over the usual and prevailing or reasonable and customary charges as defined by any given insurance company processing clerk at any given time. Legally there is no such thing as usual and prevailing, but insurance companies have agreed to a unified concept of this “average charge for a medical service or treatment”. Companies often do not agree on an exact or consistent average. All payments received from your insurance carrier will be credited to your account in a timely manner. If there is an overpayment, you will know by your EOB and we will send you a refund if your account is paid in full.
AGAIN, YOU ARE ULTIMATELY RESPONSIBLE FOR ALL FEES DUE THIS OFFICE FOR SERVICES RENDERED. THIS OFFICE WILL NOT ENTER INTO DISPUTE WITH YOUR CARRIER OVER ANY CLAIM. IT IS YOUR RESPONSIBILITY AND OBLIGATION TO ENSURE ALL PAYMENTS ARE COVERED.