Serving Southwest Louisiana Since 1962
Managed Care has become a growing healthcare trend in our society.
To better serve you, the following guidelines have been developed for our office.
YOU are responsible for:
-Having your insurance enrollment card available at every
visit
-Providing the necessary information required for primary
filing of your claim
-Providing a copy of your most recent EOB indicating if you
have met your deductible
-Pay your required amount at the time of every visit
-Notify us of any change in your managed care/insurance plan
and any change in benefits
-Contesting non-covered claims with your managed
care/insurance and re-filing if you desire
-Filing of secondary managed care/insurance if you desire
-Full payment within 30 days of all services transferred to
patient responsibility, even if secondary
filing by you is pending
CHILDREN'S CLINIC is responsible for:
-Filing your claim once with the managed care/insurance
company that you have given us as
your primary coverage
-Posting payments received to your account and if there is a
valid credit balance due you, it
will be applied to your next visit or refunded to you
upon your request
-If the Explanation of Benefits (EOB) indicates that there is
no payable amount from
managed care/insurance, the amount will be transferred to your
responsibility
-Following up with your managed care/insurance if no payment
and no denial is received
-Review all delinquent balances for collection service action