INSURANCE

PATIENTS WITH INSURANCE COVERAGE 

BILLING INFORMATION

At Integrated Dermatology we make every effort to submit your bills accurately and efficiently. It is the patient’s responsibility to provide the office with up-to-date information concerning your insurance coverage. For this reason, please either upload a picture of your current insurance card via the registration link and/or bring proof of insurance and identification to your visit.

The billing department sends out patient bills daily as insurance claims are processed. Occasionally, notes are used on the statement to clarify your financial obligations as determined by your insurance. These notes are brief due to limited space. Please contact our billing department at 866-650-0276, for any bills you do not understand. We try to address all messages on the same day they are received; however, our response may be delayed should your question require researching a claim, reviewing a chart, or consulting with the provider.

All copayments are due at the time of services rendered. Likewise, all balances are due for past services should be paid within the thirty days from receipt of statement. You will be responsible for all services that are not covered by your insurance.

All payments for cosmetic services are due at the time services are rendered. 

We expect payment within 30 days of your bills. If unpaid balances remain longer than 90 days, and you have not been in contact with us regarding your balance, a letter will be mailed detailing your financial obligation and alerting you that not responding within 30 days will ultimately lead to your referral to our collection agency. Payment plans are available upon request.

REFERRALS AND PRE-AUTHORIZATIONS FOR SERVICES

Many insurance carriers require a referral from your Primary Care Physician before you receive care from a specialist. It is your responsibility to obtain a referral or prior authorization if your medical coverage requires it. This needs to be in place prior to being seen as most insurance will not backdate the referral. You will be responsible for any claims denied for not having a valid referral on file.

NON-COVERED SERVICES

Our providers follow current dermatology standard of care and appropriate-use guidelines in recommending procedures and treatments as part of your care. Please be aware that some of the procedures or treatments recommended for you by our providers may be determined to be non-covered or may be considered “not medically necessary” based on the benefits provided by your specific insurance plan. You will be financially responsible for the costs of non-covered services and services that your insurance carrier declines to cover as “not medically necessary”.

In the event that our information indicates that a specific service or services may not be covered by your plan, you will be asked to sign an ABN, or Advanced Beneficiary Notice, outlining the services that we have determined may not be covered by your plan, and for which you agree to be responsible for payment, before we will provide those services to you.

Please understand that even for insurance plans with which we participate, covered benefits may vary from one person’s or employer’s plan to another, and it is impossible for us to know what is covered under every plan. You are responsible for knowing the covered and non-covered benefits available under your plan. If you have questions, contact your employer’s personnel department or your plan directly.