CREDIT POLICY

Billing and Insurance

  1. Health Insurance

Our clinic submits claims for all types of insurance as a courtesy to our patients. Current insurance cards must be presented on your first visit, along with the carrier name, the claim submission address and policy numbers. Please provide

the name and address of your referring physician. For other types of insurance coverage requirements please see below. If your insurance coverage cannot be verified, we will need payment in full on the day of your appointment. For your convenience we have charge card availability.

At your upcoming office visit your doctor may decide your symptoms require an office diagnostic procedure such as fiber optic laryngoscopy or nasal endoscopy. Recently, some insurance companies have categorized these as a surgical service even though they are diagnostic. Additional co-payment or co-insurance charges may apply to these services.  If you have questions, please contact your insurance company.

At your upcoming office visit your doctor may decide your symptoms require a hearing test. Recently, some insurance companies require that additional co-payment or co-insurance charges be applied to these services. If you have any questions, please contact your insurance company.

  1. Referrals and Prior Authorizations ( This may or may not apply to your insurance)

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. If your referral is not able to be verified on the day of your appointment, we will need payment in full at the time of your appointment. For your convenience we have charge card availability. Also, our insurance department is not available to research and obtain retro referrals. However, if you are able to secure a retro referral, please notify our insurance department. A credit refund check will be issued if your insurance company does, indeed, pay for your visit.

  1. Co-payments

All office co-payments must be paid at the time of service, or the appointment will need to be rescheduled.

  1. Workers’ Compensation

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 description of injury, along with the date of the injury or illness. If the claim ID is not an open claim number, we will not process the claim as workmen’s compensation and the visit will need to be paid at the time of service. Many employers now elect only certain physicians to treat their work comp injuries. Please check with your employer to see that you are able to be treated by our physicians.

  1. Accident Claim (Including Auto and Liability)

We will submit the claims to the appropriate insurance carrier upon receipt of the insurance information. The date of injury or illness will be required.  If this information is not available at the time of your appointment, then payment must be made at the time of service.

  1. Out State Medical Assistance

We accept Minnesota Medical Assistance. We do not accept other out state medical assistance unless prior arrangements have been made.

  1. No Insurance Coverage

Patients that have no verifiable insurance coverage will be asked to pay the entire bill at the time of the visit.

  1. Identity Theft

The Federal Trade Commission’s Red Flag Rules require that our clinic ask that a photo ID and insurance card be presented at the time of your visit. The Red Flag Rules are focused on the prevention and detection of identity theft.

  1. MN Department of Health

The MN Department of Health may require Ear, Nose & Throat SpecialtyCare to collect Race/Ethnicity/Language and Insurance data, as well as a Patient Experience of Care survey.

Questions regarding these billing and insurance guidelines should be directed to our business office. Our staff is available and may be reached Monday through Friday, 9 a.m. to 5 p.m. at (612) 871-2410.

 

If you have further questions, please feel free to call.

Thank you.

Business Office: (612) 871-2410 www.entsc.com

 

START TYPING AND PRESS ENTER TO SEARCH