We are here to make it easier to understand your healthcare costs.
Billing… it’s all about helping you. That’s our job.
Advanced Dermatology Associates, LTD’s highly trained and caring billing staff knows medical insurance and medical bills can often be a maze that can confound and frustrate patients. We understand how challenging it can be. Remember, we also see doctors and we, too, have our own insurance.
We know insurance companies, we know our medical providers, and we know the intricacies of billing for medical services. We go out of the way to ensure that our patients receive accurate billing information, both from us and from their insurance carrier. When things go wrong, and they do go wrong, we step in to correct your medical billing record.
Your healthcare insurance company may send you an “Explanation of Benefits” (often called an “EOB”) or “Statement of Remittance” (often called an SOR) letter after your visit. These form letters/statements are a detail of the claim that was submitted for your visit.
It may include:
– the name of the patient (which may be you) or someone who is your dependent on your healthcare insurance plan or someone who has secondary coverage under your healthcare insurance plan (this is generally a dependent that also has separate healthcare insurance coverage in addition to your healthcare insurance coverage). It is important that the name is someone you know is on your plan or you may be paying for someone’s healthcare costs that do not belong to you
– healthcare insurance plan ID
– claim number
– date of service (DOS)
– provider/medical provider(s) (this is the physicians[s] and/or physician assistance/nurse practitioner or supervising physician of the physician assistance/nurse practitioner who provided your medical care)
– a procedure and/or diagnosis code
– in some cases the procedure or diagnosis code may be written out (e.g. “office visit level 3”, “biopsy”, etc.)
– Total charges (this is the amount we bill your insurance company)
– Allowed amount * (this is the contracted amount the insurance company will allow [remit to] Advanced Dermatology Associates, LTD for the service/procedure)
– Amount due (this is amount the patient owes to the provider — Advanced Dermatology Associates, LTD). This is the Allowed amount * less the amount paid by your healthcare insurance plan and less any Co-Pay paid on the date of visit
Your bill may be adjusted by:
– “Co-Pay”, this is the amount due at the time of your visit as indicated on your insurance card or as indicated by your healthcare insurance plan carrier. It is usually a fixed amount (e.g. $20, $40) based on the type of visit. When a Co-Pay is applied (paid) on the date of the visit the “Amount due” will be reflected
– “Co-Insurance”, this is generally a percentage (%) of your visit that you are required under your healthcare insurance plan to pay the provider— Advanced Dermatology Associates, LTD
– “Deductible”, if your healthcare insurance plan has an annual deductible and you have not yet met your annual deductible, this is the balance due to the provider. As applicable, it may be in addition to any Co-Pay and Co-Insurance. Note, however, the combined total of any Co-Pay, Co-Insurance and/or Deductible can NEVER be more than the Allowed amount *
Please note, applicable co-pay, co-insurance and deductible are due at the time of your office visit.
Paramount for the team in our billing department is caring, prompt and accurate patient service.
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