BILLING

EDA participates in most insurance plans such as preferred provider organizations (PPO), health maintenance organizations (HMO), point of service products, independent practice associations (IPA) and Medicare. If you are in doubt as to whether we participate with your plan, please contact our office to confirm. Many of these managed care plans have referral guidelines. It is the responsibility of the patient to follow those guidelines before seeking specialty care.

If appropriate referrals are not in place at the time of the appointment, you will be expected to pay for your visit at the time of service. EDA will also expect you to pay your co-payment at the time of service. If you do not have a managed care plan, EDA will file your commercial insurance for you. We will file your claim as a courtesy; however, if our clinic files a claim for you, benefits will be assigned to the provider. We will expect the patient to pay for any unmet deductible and coinsurance at the time of service. If you have paid for your deductible at the time of service, we will file a claim to your insurance carrier so that you may receive deductible credit.

Once EDA has filed your insurance for you, you will not receive a statement from our clinic until all of your insurance for that claim has been exhausted. When we receive notification from your insurance company that your claim has been processed ( paid or denied), you will receive a statement. In the event that your insurance requests additional information from you, please respond promptly. If you do not comply with your insurance, the bill will be your responsibility.

It is very important that you bring your insurance card to every appointment. If you do not have insurance, we will be happy to make financial arrangements PRIOR to the visit. We accept cash, Visa, MasterCard and American Express.

We frequently provide services that are not covered by your insurance. If we provide non-covered services to you, we will notify you in advance and have you sign a statement stating that you are aware such services are not covered by you insurance. We will collect for these non-covered services at the time they are provided to you. Although such services are not covered by your insurance, in our opinion, they are medically necessary and should be a part of your care plan.

Billing Questions

If you have any questions regarding insurance or billing please call our billing department.

EDA Billing Department Phone: 615-627-9271 Fax: 615-385-0612