Billing and Insurance 

It is the patient’s responsibility to notify our office when a referral or pre-certification is needed. Five working days are needed for referrals to be processed.

We are a participating Medicare provider and accept assignment of all Medicare claims. We participate in traditional Medicare, Humana Medicare Advantage Plan and Blue Cross Blue Shield Medicare Advantage Plan.

We will file your Medicare claim for you, and Medicare will then send payment directly to us. At the same time, a Medicare Explanation of Benefits will be mailed to your home address.

We will also file supplemental policies on your behalf. Any deductible or insurance co-pay amount is the patient’s responsibility and due at time of service.

Please inform us at the time your appointment is made if you are in a PPO or HMO managed care plan. Any co-payment required by your insurance plan is due at the time services are rendered.

We participate in many major plans, including but not limited to:

• Blue Cross Blue Shield of TN
• Aetna
• Cigna
• Humana
• Tricare

However, with so many plans available today we may not participate in every one. If we are not a participating provider on your plan and you choose to see our physicians outside of your plan, your benefits may be reduced or eliminated completely.

Although we gladly file your medical insurance on your behalf, your policy is ultimately a contract between you and your insurance provider. It is your responsibility to monitor the processing and payment of claims.

After payment is received from the insurance company, any outstanding balance will be the patient’s responsibility.

If your insurance company is not one in which we are a participating provider, any balance remaining after 60 days from the date of filing will be the patient’s responsibility.