A PATIENT CONCIERGE SERVICE TO HELP YOU NAVIGATE YOUR HEALTHCARE BENEFITS
WHAT WE DO:
Verify your health insurance benefits
Inform your doctor of your benefit qualification for Out-of Network services
Contact you once you have been scheduled with one of our partner facilities, and explain our process in detail
Provide documents to the facility for you to complete
Bill your insurance company for reimbursement of your medical claim
Appeal any denial or underpayment of your medical claim
ABOUT PATIENT CHOICE
WHY GO OUT-OF-NETWORK?
Your provider has indicated they are Out-of-Network with your insurance carrier. What are Out-of-Network Benefits?
Out-of-Network benefits are part of your insurance plan. These benefits are paid for by you. They allow you the choice to seek medical care with providers or facilities not contracted with your insurance company.
The potential advantages of utilizing your Out-of-Network benefits include:
Access to more provider options including state-of-the-art technology such as biologics, stem cells, or implants
Fewer network limitations and red-tape
Access to Patient Choice concierge services
A stronger relationship with your medical provider allowing for greater control of your care and benefits
WHAT TO EXPECT
You may receive a call from your Patient Choice Representative who will:
FREQUENTLY ASKED QUESTIONS
Q: What is my financial responsibility to you?
A: We collect nothing from the patient. Your provider will directly inform you of any amounts that you are responsible for in connection with your office visit or procedure.
Q: What if my insurance pays nothing or only part of my claim?
A: Historically, we have been successful in negotiating with insurance companies to ensure proper reimbursements of Out-of-Network benefits. Your medical provider will make any decision regarding whether there will be any balance bill.
Q: How long does the billing process take?
A: The timing varies based on many factors including the type and location of the procedure performed and the insurance company's policies and procedures. Most of the time, the process will be completed within 30-180 days.
Q: What do I do if I receive a letter or EOB from my insurance company?
A: These types of correspondence are standard. It is how your insurance company notifies you that billing for your procedure is ongoing. Please contact us if you have any questions about these documents at +1.844.326.3127
Q: What do I do if I receive a check in the mail from my insurance carrier?
A: Some carriers send payments directly to the patient. If this happens, please reach out to us and we can further assist you with getting the reimbursement to the provider.
CONTACT PATIENT CHOICE
We are here to assist you in answering any questions or concerns that may arise.