Billing
Billing and
repayments have become increasingly complex due to the
proliferation of managed care companies. If we have signed a participating agreement with
your insurer, we will bill them. You are responsible for your co-pay payable at the
time of service.
For billing inquiries, please
contact Mia Rosales: MROSALES@OBGYNSNW.COM,
312-654-1166.
If we do
not participate in your insurance plan payment is expected
at the time of your visit. (If you are an established self-pay patient and
need to make individual payment arrangements, please
contact our Billing Department prior to your appointment.)
While we are here to help, it is ultimately your
responsibility to understand your insurance benefits with
your insurance carrier. Some policies have very intricate
rules about what is and is not covered. OBGYN information
is always subject to the final determination of coverage
by your insurance plan.
If you
have traditional major medical coverage, reimbursement
is frequently based on the company’s own schedule of
reasonable and customary fees for each procedure or exam.
Unfortunately, your companies “reasonable and
customary” fees frequently do not reflect the fees that
are typical of OBGYN’s in the area.
Note for patients with Lab One and other
restricted laboratory benefit plans:
We use Quest
Diagnostics Laboratory for all lab work done in our
office. If your insurance offers benefits at a different
laboratory (such as Lab One) we will draw your lab work,
however you will be responsible for any laboratory charges
not covered by your insurance. You may choose not to have
your lab work done in our office, please inform the office
staff and we will give you a prescription for lab work to
be performed at the laboratory of your choice.
If
you have any questions, please call our billing department
at
312-654-1166
(Option #2.) Our billing department is open between the hours of 8:00am and 4:00pm Monday thru Friday.
Insurance List
Admar PPO
Aetna HMO, POS, PPO, Choice Plus, Open Access
Beechstreet PPO
Blue Cross Blue Shield PPO Only
CCN Elect & Epiqual PPO & POS
Cigna PPO, POS, EPO & HMO
First Health PPO & POS
GreatWest HMO, PPO & POS
Health Network PPO
Health Star PPO and EPO
Health Care’s Finest (HFN) PPO & EPO
Humana Choice Care PPO
One Health Plan/Great West PPO
PPO Next PPO
Preferred Health Network (PHN) PPO
Preferred Network Access (PNA) PPO
Preferred Plan Inc. PPO
Private Healthcare Systems (PHCS) PPO, EPO
POS (Open Access)
United Healthcare HMO,PPO,POS (Effective 4-15-06) Unicare PPO & POS
USA PPO
Wellmark Health Network PPO
*The above list is subject to change
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