We understand that medical billing and insurance paperwork can be confusing — especially during stressful times. That’s why we’ve compiled answers to some of the most common questions our patients and members ask. Whether you’re waiting for a refund, received a letter that looks like a bill, or have questions about Medicare or membership coverage, you’ll find straightforward explanations here.
If you still have questions after reviewing these FAQs, please don’t hesitate to contact our office — our team is here to help.
Refunds are typically processed once payment has been received and applied. The timeframe may vary depending on the ambulance service policy and how they process refunds. Refunds are not done in our office. The ambulance service is responsible for sending refunds. Please allow 6-8 weeks.
Reprocessing letters are not bills UNTIL reprocessing by your insurance carrier is completed. They are notifications about how your claim is being handled by your insurance company. They do require you to contact your carrier. In the event the insurance carrier does not remit any further payment please call our office to find out what your due balance is.
Signature forms are not bills unless you do not provide the required information then the balance is your responsibility. Certain insurance carriers require a signature from the patient to submit a bill. Please review the back and complete as instructed. You can always visit us on this webpage and provide your signature electronically.
If you receive a Medicare appeal form, follow the instructions included with the letter. If you have questions, please contact Medicare at 1-800-Medicare.
Sometimes Medicare denies claims that are determined as “not medically necessary.” Patients often hear from Medicare that the claim was coded incorrectly. If this happens, please contact us before completed your appeal so we can review your claim and confirm the correct information. If the claim is coded correctly, the balance may be patients responsibility.
Subscription programs do not replace insurance billing. All claims must first go through your insurance carrier. Co-pays, co-insurance and deductibles may not always be covered by your subscription. Please review your subscription pamphlet for details.
Sometimes insurance companies send payment directly to patients instead of to the provider. If this happens, you are responsible for forwarding that payment to our office so it can be properly applied to your account. If you receive a denial letter instead, it does not always mean your claim will not be paid—please contact us so we can explain as your carrier may need additional information from the patient to process your claim. You can also remit payment securely on this webpage.