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Billing Questions

Despite our desire to focus on providing care to patients, it is appropriate to mention our billing practices. Our medical billing is done by Divine Medical Billing. If you have a question about your bill, please contact Divine Medical Billing at 1-615-547-2434. Divine Medical Billing has been a blessing to our company. We have searched for just the right partner for our medical billing, and have found that in Mylikia Ross and her staff.

Please know that our ability to submit a correct claim to the correct insurance provider begins with YOU! At each visit we must verify your insurance to make sure that it is active and will provide some form of coverage for your visit. This is a standard practice at all well ran offices.  We also must verify your demographic information at each visit, such as your address and phone number. Patients cannot receive bills if we do not have an accurate address on file. We will make you aware immediately if the insurance card you provide us is not active if at all possible.

There are some important terms to know when considering your bill. They are listed below:

Deductible – This is a part of insurance agreements designed to minimize the monthly fee patients pay for insurance. Most insurances have some form of a deductible. Patients often choose a high deductible plan in order to have a lower monthly premium. If the deductible has not been met, most insurances will provide a discount for seeing an in network provider and leave the patient responsible for the remainder. Please the billing company if you need assistance with paying the remainder.

Copay- This is the amount paid at the time of the visit. Again, this is a part of the patient’s agreement with the insurance company.

Non Covered Service- Patients may see this on their Explanation of Benefits. Please contact the billing company so we can try to gain coverage for the service, or provide a discount.

Coordination of Benefits – When there has been a transition from one insurance to another, or a person has two or more insurances, often the insurance companies will require a patient to call them and explain coverage. As much as we like to help patients, this MUST be done by the patient, we are not allowed to do it. This is usually just a matter of calling and explaining previous coverage is no longer effective, or explaining which insurance is primary and secondary. The insurance companies will not pay until this is done. If this coordination of benefits is not done in a timely manner, the insurance companies will not pay and you will be responsible for the entire bill.

No Coverage – Sometimes the insurance companies will send communication stating a patient’s insurance was not in effect when the visit occurred. This is usually corrected the patient calling the insurance company. Again, they will not pay until this is done. If this is not done in a timely manner, the insurance companies will not pay and you will be responsible for the entire bill.

Our company is family owned and operated. We have one goal; provide patients with the care we would expect to receive. If you have any suggestions for improvement, please email our Chairman at chandleranderson@rightcareclinic.com. Chandler is very dedicated to making certain each patient has a great experience at Right Care. Thank you for choosing Right Care as your provider for healthcare services. We greatly appreciate it.

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