To help you understand our billing process, we’ve put together some samples of frequently asked questions. As always, please feel free to reach out directly to us with your questions.
ENT Specialty Care submits claims for all types of insurance as a courtesy to our patients. Please be sure to present your current insurance cards at each visit, as this is necessary for billing. If your insurance coverage cannot be verified, we will require payment in full on the day of your appointment.
Any office co-payments must be made at the time of service, or the appointment will need to be rescheduled.
No Insurance: Option to Pay In Full
Patients who have no verifiable insurance coverage will be asked to pay a portion of their bill at the time of service.
Photo ID–For Your Security
The Federal Trade Commission’s Red Flag Rules require that all clinics to ask that a photo identification and insurance card be presented at each visit, even if you have been seen in the last 30 days.
Our physician may recommend hearing testing based on your symptoms. Some insurance companies apply an additional copay to these services. Please contact your insurance company to verify their coverage policies.
Out of State Medical Assistance
We accept Minnesota Medicaid. We do not accept other out of state medical assistance unless prior arrangements have been made.
MN Department of Health
The Minnesota Department of Health requires Ear, Nose & Throat Specialty Care to collect Race/Ethnicity/Language and insurance data, as well as a “Patient Experience of Care” survey.
We submit all workers’ compensation claims, provided we have the claim ID number; the name, address, and phone number of the carrier; employer information, and the date of injury. Please also bring your health insurance card.
Accident Claim (including auto and liability)
We will submit accident claims to the appropriate insurance carrier upon receipt of the insurance information. The date of injury or illness is required. If this information is not available at the time of your appointment, payment must be made at the time of service. Please also bring your health insurance card.
Referrals and Prior Authorizations
While we are happy to answer questions, it is the patient’s responsibility to obtain any and all authorizations required by their insurance plan prior to being seen, each and every visit, at our clinic. The authorization must be written and must specify the number of visits and the type of treatment that we are allowed to render.
Information Regarding Commonly Performed ENT Procedures
As a part of your examination, your specialist may order an in-office ENT procedure. This may include Fiber optic examinations of the Nose, Sinuses, and Larynx/Vocal Cords. If such a procedure is performed, a procedural fee will be submitted to your insurance carrier. You should know that your insurance carrier may refer to these routine parts of your specialist’s consultations as procedures or even surgical procedures. If our office participates with your insurance carrier you will only be obligated to pay for any deductible, coinsurance, and/or copays as agreed upon by you and your carrier. Please know that these procedures allow your specialist to give you the most accurate and best care available.
Questions regarding these billing and insurance guidelines should be directed to our business office.
Our caring staff is available during regular business hours: Monday – Friday, 9AM – 5PM
Contact our Business Office directly by calling (612) 871-2410.
Call 612-871-1144 to schedule an appointment with any of our providers at any location.