At this time we only require a referral if it is required by your insurance company.If your policy requires a referral it will be your responsibility to obtain your referral and keep it up to date.If there is a doctor listed on your insurance card, this is who the referral must be from.The main insurances that need a referral are BlueCross & BlueSheild HealthSelect, Blue Cross & BlueSheild HMO, TriCare Prime, TriWest, or any commercial HMO policy.
2. What if there is an error on my bill?
If you have a question about your bill, or believe that it is incorrect, call our billing office at 903-416-6250 and select option for billing.If you do not call with questions we will assume the bill is correct and will be sent to collections if unpaid, so please call as soon as you question your balance.This will assure your account does not go to a collection status and we do not pass any corrected claim filing deadlines your insurance company may have.
3. What if there is an error on my EOB (Explanation of Benefits) from my insurance company?
More than likely if you question your EOB we are in the process of resubmitting the charges to correct it.Please keep in mind that you will receive your EOB 1-2 weeks before we do.
4. What will I owe after insurance has paid?
There is no way to know exactly what will be owed until the charges are submitted and processed by your insurance company.This depends on your specific policy and there are simply too many for us to keep up with every charge allowable for every company.We will give you a quote on surgery charges, but this will only be an estimate.
5. Why am I being billed when I have insurance coverage?
The balance may be from a co-insurance, deductible, or out of pocket expense (an expense your policy does not cover). If you have a specific question about why your insurance did not cover a specific charge you may contact our office and we can try to explain further, or you may contact your insurance company directly by the number listed on your card.
6. Why can’t all of my family’s bills be put on one statement?
We can usually accommodate this request; unfortunately this will not automatically correct itself.If you receive statements for more than 1 family member please contact our office and we can combine this.You will however receive statement per doctor; therefore if you have seen multiple doctors in our office you will receive multiple statements.
7. I do not have health insurance or simply can not afford to pay my bill all at once. Do I have options?
Yes. We will allow payment plans to help you with high balances.Please contact 903-771-7503 option 7 for payment options. This also goes for surgery deposits that are over $1000.00, this can be discussed with our insurance co-ordinator when she calls you prior to surgery.
8. Why does my EOB say I had surgery when I just came for a visit?
Unfortunately some of the procedures (including diagnostic) done in our office are classified as surgery according to the coding guidelines we must follow to file your insurance claims.This does not mean that you had surgery in the office it is simply billing classifications. This applies to scopes, ear cleaning, hearing tests, any type of excision, etc.