Insurance Participation and Procedures
What Insurance Plans Do We Accept?
The Diamond Headache Clinic accepts most major PPO/POS insurances such as Aetna, Blue Cross & Blue Shield (BCBS), Cigna, Humana, United Healthcare, etc. We do accept Medicare, but we do not accept HMO, Medicaid or third-party liability insurance. Please contact your insurance company for eligibility and benefits prior to contacting us.
Our Insurance Procedures
We will bill your out-of-network insurance company for your initial office visit. Any co-pays and/or deductibles are due at the time of service. If you are out of network, we will not bill insurance companies for follow-up visits unless we are contracted with them or you have Medicare. Although eligibility has been checked with your insurance company prior to your office visit, this is not a guarantee of payment. Your insurance company determines benefits once the claim has been received and reviewed.
If your insurance company was billed and payment is not received within 45 days, the balance will be transferred to the patient’s responsibility. Our office cannot accept responsibility for collecting your insurance claim or for negotiating a settlement on a disputed claim. Any portion of the bill not paid or denied by the insurance carrier will be the patient’s responsibility.
If you have Medicare and a supplemental or secondary insurance carrier, please call Medicare and advise them of your secondary or supplemental information. Medicare will bill your secondary carrier for you.
We do not bill secondary insurance carriers unless Medicare is your secondary insurance or we are contracted with the secondary insurance carrier. Use the explanation of benefits (EOB) from your primary insurance carrier to bill your secondary insurance and attach any appropriate documentation, such as a statement from the Diamond Headache Clinic.
For more detailed information about insurance billing and payment, please click here.