Our goal is to offer continuing, optimum patient care without having a patient's treatment dictated by a third party; hence, we do not accept payment from insurance companies. Instead, we prefer to have a direct relationship with our patients and to give them the opportunity to make the final decision as to which treatments are most beneficial for them or for their children.
Filing claims with insurance companies is a full-time job that requires a substantial amount of knowledge which Insurance Coders go to school to learn. Our staff has not been trained for this purpose; however, we do our best to comply with insurance requirements so that you can get reimbursement. To help you in your quest for reimbursement we will do the following:
- Any requests for additional forms from your insurance company will gladly be accommodated for a fee. This includes records, reports, tests, etc.
- To avoid multiple fees, we will give the copied information to you to submit to your insurance company (along with their letter of request). We HIGHLY recommend that you only send copies of the documents, never the originals.
Please note that we frequently receive letters from insurance companies requesting records or different diagnosis codes, different CPT codes and additional information. We will give this additional information to you to submit to your insurance company; however, we will not send the information directly to the insurance company.
We ask that all patients complete our patient registration form, and read and sign our financial policy, prior to seeing the doctor(s). Any payment by insurance should be sent directly to you, the patient. Call your insurance company to request claim forms to submit for reimbursement.
Regarding blood work and insurance reimbursement there are two options:
- The one-stick option: Arizona Center for Advanced Medicine can draw all the blood at once and send the tests to the appropriate labs for analysis. We can have the regular blood work billed to you directly by the lab (Sonora Quest) and then you may submit a claim to your insurance company for reimbursement, or contact Sonora Quest directly to give them your insurance information. Tests which are run in specialty labs will be charged to your account at the clinic, and you may request a HCFA form to submit to your insurance company for reimbursement.
- The two-stick option: Dr. Grout can provide you with a LAB ORDER that you can take to the specific Lab, such as Sonora Quest, and have them draw the regular blood work, and give them your insurance information up front. Please note that Sonora Quest will only draw blood for test that they process (that is the first stick). Any other blood tests would then need to be drawn by your family doctor (if they are willing) or by the Arizona Center for Advanced Medicine (that is the second stick).