Insurance & Billing Information

Our staff in the financial office is here to help.

They can be reached at (415)751-2065

Monday – Thursday between 8am – 11am & 2pm – 5pm.

 

We are contracted with numerous insurance plans.  However there are many insurance plans and variations of plans that employers choose, therefore making it impossible for our office to know the covered benefits of your insurance plan.  It is the responsibility of the patient or family to know and understand the policies and benefits of their insurance plan.

 

This includes:

-Co-payments

-Covered hospitals, labs & x-rays

-Prior Authorization & Referral procedures

-Current Claim Address

 

HMO plans

We are members of both Brown and Toland Physicians and Hill Physicians.  It is important that if you are a member of one of these HMO plans and receive care in our office, that one of the doctors in our group is listed as your Primary Care Physician (PCP).

 

Below is a list of some of the non-HMO insurance plans we participate in:

Aetna

Blue Cross

Blue Shield

Cigna

First Health

Great West

HealthNet

Multiplan (PHCS, Admar, Beech St.)

PacifiCare

Sutter Select / UMR

United Healthcare

 

There are numerous other plans our physicians are contracted with.  Please contact the plan you are considering to confirm if your Primary Care Physician is a contracted provider with that plan.

 

It is very important that you notify your insurance company of your newborn within the first 30 days of life.

 

At every office visit, be prepared to show your current insurance card and make a co-payment if your plan requires so.  If your child is sent with a childcare provider, please make sure that that person is prepared to make the co-payment.

 

Please notify our office any time there is a change in insurance coverage.  You can do so by filling out our Change of Insurance and submitting it to our billing office with a copy of the new insurance card, both front and back.  Failure to do so results in unnecessary billings to companies only to find out that the policy has lapsed.  Incorrect or out-of-date information will delay your claim and you may be held responsible to full payment of the claim.

 

Please notify our office of any Change of Address as soon as possible.

 

We must emphasize we cannot accept responsibility for collecting or negotiating insurance claims.