There are many questions that arise from direct billing to insurance companies. Our team is here to make the process seamless, but here are some of the most asked direct billing FAQ’s.
Note that your care recommendations will NEVER be based on your insurance coverage.
As health care practitioners, we determine your care based on specific examination findings. Your care recommendations may not be completely covered by your insurance benefits and you will be responsible for any remaining balance.
Q: How often do you direct bill and how long does it take for you to receive my claim payment?
A: Insurance billing is done once a week and payments can take a minimum of 7 business days to reach our office.
Q: I have 2 benefit plans, will you direct bill to both of my insurance benefits at once?
A: We are only able to bill through one insurance company at a time. We will start with your primary benefits provider and any co-pays will be processed on the credit card we have on file. Statements for credit card payments can be requested at any time so that you can submit any co-pays to your secondary benefit company.
Q: My primary benefits are maxed out for the year, can you direct bill to my secondary benefit plan?
A: When your primary benefits are maxed out, you are responsible for notifying your secondary benefits provider in order for us to direct bill to them. We are unable to notify them on your behalf. You may have to request a statement from your primary company stating that your benefits have been maxed out.
Q: Can you find out how much my insurance company will be covering of each treatment? When does my plan expire and renew?
A: We do not have any access to your account information and cannot call on your behalf to inquire about any particulars of your benefits plan, including coverage limits and renewal date of plans.
Q: Are there any services that you do not direct bill for?
A: We are unable to direct bill for homeopathy, nutrition, personal training, or massage club appointments, as well as supplements, orthotics, and other retail items. We can provide receipts for any services that cannot be direct billed for you to submit directly.
Q: Can you send in any charges that are not covered by my insurance to my health spending account?
A: We do not have access to health spending accounts but we can provide statements at any time for you to submit directly.
These direct billing FAQ’s are the questions that we hear most from our patients. If you have any further questions, please connect with us and we will be happy to discuss your concerns.