Insured Patients. Payment for fees not covered by insurance is due within 10 days after we receive the insurance payment. Your insurance company will first send you an Explanation of Benefits, so you will know what the insurance payment and your portion will be.
Insured Patients. It is TotalCare’s policy that you must present your insurance card at each visit. We have contractual agreements with many insurance health plans to accept an assignment of benefits. This means that we will bill those plans for which we have an agreement and will only require you to pay the authorized co-payment, coinsurance or deductible amount due per your insurance’s Explanation of Benefits. You could be billed for any remaining amount after the services are rendered. If you have insurance coverage with a plan we do not have a contractual agreement with, the charges for your care and treatment are due at the time of services. In the event that your health plan determines a service to be “non-covered” or out of network you will be responsible for the negotiated rate for the services performed. If you have insurance that requires you to select a Primary Care Provider/Manager (PCP or PCM), you will need to contact your insurance prior to your visit to ensure that a TotalCare physician is assigned to your policy. If you do not have a TotalCare physician selected as your PCP/PCM before your appointment, you will be considered uninsured.
Insured Patients. 4.1.1. Direct Settlement by Insurance Companies We will try to help you do this, but only your insurer can confirm that your cover is adequate. The credit/debit card details you have supplied to us under clause 4 will be used for any shortfall and/or outstanding balances as in paragraph 4. If your insurance company operates a direct settlement scheme, we will send your account and claim form to the insurance company for payment on your behalf. So that we can do this, you will need to obtain pre-authorisation in advance for tests and treatment that you are to receive. You will also need to provide us with a valid authorisation code prior to your admission. If your insurance company does not pay the account in full within 30 days from the date you were discharged, any outstanding balances will be notified to you by letter. You will have 10 days from the date of our letter to query this outstanding payment before your credit/debit card is debited with the outstanding balance. A receipt will be provided on request.
Insured Patients. We have contractual agreements with many insurance health plans to accept an assignment of benefits. This means that we will bill those plans for which we have an agreement and will require you to pay the authorized co-payment, co-insurance or deductible amount due per your insurance’s Explanation of Benefits. You could be billed for any remaining amount after the services are rendered. If you have insurance coverage with a plan we do not have a contractual agreement with, the charges for your care and treatment are due at the time of service. In the event that your health plan determines a service to be “non-covered” or out-of-network you will be responsible for the negotiated rate for the services performed. If you have an insurance that requires you to select a Primary Care Provider/Manager (PCP or PCM), you will need to contact your insurance prior to your visit to ensure that a TotalCare physician is assigned to your policy. If you do not have a TotalCare physician selected as your PCP/PCM, you will be considered non-insured.
Insured Patients. All co-pays and deductibles are due at the time of your office visit.
Insured Patients. If you are insured you must indicate your insurance details on your Agreement to Pay Form, retaining one copy only for your records. You should note that being insured does not mitigate your liability as an individual to pay for any and all treatment given by the Trust should your insurer, for whatever reason, not agree to reimburse the Trust in respect of any and all charges levied by the Trust for your care. You should check with your insurer that the policy you hold with your insurer covers you for the treatment that you require. Some insurance companies will provide you with an authorisation number for each episode of treatment, which you should indicate on the Agreement to Pay Form. Where you are covered by an insurer, the Trust will expect that you pay any and all charges not covered by your policy and/or which your insurer refuses to pay for within 14 days of the date of the Trust’s invoice. If you have elected to pay for the treatment yourself then you must indicate this on the Agreement to Pay Form. Paying by cheque: Cheques should be made payable to ‘Salisbury NHS Foundation Trust’ and crossed account payee only. You should send your cheque in the envelope with your Agreement to Pay Form. Paying by debit/credit card: Debit/credit card payments should be made to Parkside xxxx by phone or through personal visit. Please ensure that you have your card details available including the card company, card number, card expiry date, security code and the full name and address of the person listed on the card.
Insured Patients. Patients must authorise Veincentre to submit claims relating to their insurer on their behalf and permit us to send necessary clinical details relating to their assessments and treatment onto them in order to receive appropriate authorisation and payment. Veincentre is required to audit clinical records for quality assurance reasons, which may include your health records. Your data will be treated strictly in line with National CQC standards and will be subject to confidentiality according to the Data Protection Act.
