Unfortunately, billing for medical procedures has become more and more complicated! Restrictions on access to physicians has seen many forms—the most recent being the dreaded “referral!” Many of the health insurers have attempted to contain expenditures by adding an additional “step” to the process of seeking specialty care—that is, requiring patients to receive a written referral from their Primary Care Physician (PCP). The Cardiovascular Care Group participates in several insurance programs at the present time and are obligated to follow the rules that a person has agreed to with their own insurer.
We do not make the rules—we simply abide by the rules that the insurance company has set forth for proper care of the patients insured under the specific plan.
Therefore, if the insurer requires a referral, we are legally obliged to have that referral at the time service is provided. We fully appreciate the inconvenience that this may cause both the patient and the PCP; however, there is little that we can do to alter the rules agreed to between you (the patient) and the insurance company with whom you have contracted!
Our billing staff is very knowledgeable and willing to assist our patients in any way they can! Our billing manager has worked in the insurance industry for nearly twenty years and has a broad based knowledge of the industry. The support staff is quite qualified and capable as they act on our patient’s behalf to insure that patients receive the benefits to which they are entitled! |