by Systemedic | Nov 10, 2017 | Blog
Can health insurance companies deny coverage for a pre-existing condition? According to the current laws, an insurance company cannot deny coverage for a pre-existing condition (with one exception). However, those laws are under tremendous controversy and could change...
by Systemedic | Oct 29, 2017 | Blog
WHAT NO ONE TELLS YOU ABOUT OUT-OF-NETWORK BILLS Well, it depends on a few factors. If you choose to see a medical provider in his/her office and that provider is not in your network, then you are considered a self-pay patient and you are responsible for the bill. It...
by Systemedic | Oct 19, 2017 | Blog
What to do if my insurance company denies a hospital claim If your insurance company denies a hospital claim, the first step is to contact your insurance company and ask for clarification. Your next step will depend upon their reason for denial. They should address...
by admin | Apr 18, 2017 | Blog
Am I required to give my social security number to my doctor? The answer to this is NO. While it is helpful for providers and facilities to have your social security number, it is not something that they need for billing purposes. Insurance companies identify you by...
by admin | Apr 5, 2017 | Blog
How do I know if my doctor is in network? You go out of your way to ensure that any doctor you see is in your network. You pay your copay before you even see the doctor. Why, then, do you end up receiving bills that you weren’t expecting for services not covered by...
by admin | Apr 5, 2017 | Blog
What is a copay? Copays are flat fees that insurance companies require that members pay for their care. Copays, once simple and straight forward, are now becoming more complex. Not only are there different copays for different places of service and service providers...
