Billing & Insurance
Providence Women’s Healthcare is proud to be contracted with many insurance plans. After your visit, we will file a claim for reimbursement with your plan. We will do our best to work closely with your insurance company. However, it is your responsibility to know the details of your health plan with regards to co-payments, deductibles, referral guidelines and your percent of coverage responsibility. If you are unsure as to what your contracted terms are, your insurance company’s contact number is listed on the back of your plan card.
We require your co-payment at the time of your visit. In addition to cash, we also accept VISA, MasterCard, American Express, and Discover.
If you have insurance payment questions or need assistance with your account balance, please call our Billing Office Manager at 770-670-6170 Ex 122.
Billing for Laboratory Procedures:
All laboratory procedures are billed separately from your office visit. You could receive a bill from LabCorp or another laboratory provider. If you receive a bill from one of these providers, please call them directly with questions.
LabCorp can be reached at: 1-800-845-6167
If you still have questions and need additional help, please do not hesitate to call our office at 770-670-6170 Ex 122.
Common Insurance Terms:
- Deductible: The amount you are responsible to pay before your insurance kicks in. Each family member usually has a separate deductible and there is usually a maximum family deductible you will be responsible for.
- Co Payment: A flat fee your insurance company has pre-determined, that you are charged each time you visit the doctor, regardless of the cost of the visit. This fee is collected at each visit.
- Co insurance: The amount your insurance company requires you to pay based on a percentage listed in your contract with them. If your policy is an 80% plan, you would be responsible for 20% of the total cost of care for each visit.
- Maximum Out of Pocket Expense: The most you will pay within a calendar year (Jan-Dec) toward your medical expenses. If you do reach this dollar figure, your insurance company should cover all fees at 100%.
- Coordination of Benefits (COB): Provision allowed when two or more insurance companies share the financial burden without overpaying, on a claim for reimbursement. COB determines which plan is primary and which is secondary. The primary plan will pay the claims first, and the unpaid balance will be paid by the secondary plan to the limit of its responsibility.
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