Serving Southwest Louisiana Since 1962
Managed Care
Responsibilities
Managed Care has become a growing healthcare trend in our society.
To better serve you, the following guidelines have been developed for
our office.
YOU are responsible for:
---Having your insurance
enrollment card available at every visit.
---Providing the necessary
information required for primary filing of your claim.
---Providing a copy of your
most recent EOB indicating if you have met your deductible.
---Pay your required amount
at the time of every visit.
---Notify us of any change
in your managed care/insurance plan and any change in benefits.
---Contesting non-covered claims with your
managed care/insurance and re-filing if you desire.
---Filing of secondary managed care/insurance
if you desire.
---Full payment within 30 days of all services
transferred to patient responsibility, even
if secondary filing by you is pending
CHILDREN'S
CLINIC is responsible for:
---Filing
your claim once with the managed care/insurance company that you
have given us as your primary coverage
---Posting payments received to your account and if there is a valid
credit balance due you, it will be applied to your next visit or
refunded to you upon your request
---If the
Explanation of Benefits (EOB) indicates that there is no payable
amount from managed care/insurance, the amount will be transferred
to your responsibility
---Following up with your managed care/insurance if no payment and
no denial is received
---Review all delinquent balances for collection service action
See current Health Care Plans that we accept.
Payment Policy