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Billing and Insurance Inquiries

 • Billing Questions


Billing Questions


Q: Do you accept my insurance plan?

A: Since participation insurance plans changes frequently, please refer to your insurance plan directory or call your insurance company to determine if we are “in network” or “out of network” with your insurance.

Q: Do I need a referral to be seen by one of your physicians?

A: Many PPO’s, HMO’s and EPO’s require a referral from your primary care physician. Please check with your insurance plan if you are unsure.

Q: Whose responsibility is it to get my referral authorization?

A: It is the patient’s responsibility. As a courtesy we will try to assist you in obtaining referrals.

Q: Do you accept assignment from Medicare?

A: Yes.

Q: If you are not contracted with my insurance plan, will you bill them?

A: Yes, as a courtesy we will bill them, however, the patient is ultimately responsible for payment.

Q: As a patient, do I have any responsibilities when my insurance company does not process or is slow in processing claims?

A: If medical claims are not paid within 45 days from billing, it is the patient’s responsibility to help follow-up with the insurance company.

Q: If my insurance doesn’t pay, am I liable for the bill?

A: Yes.

Q: Will you bill my secondary insurance after my primary carrier has paid their portion?

A: Yes, as a courtesy we will bill the secondary insurance.

Q: Will I be seen by the doctor if I haven’t paid my co pay?

A: No. Our policy requires payment of co-payments at the time of service.

Q: When is my deductible due?

A: Deductibles and co-payments are due at the time of service. We will bill your insurance for the balance.

Q: How much do I have to pay up front when having surgery that is not covered by insurance or my coverage is being researched?

A: We require payment of the estimated patient-responsible portion of the charges prior to surgery.

Q: Do you accept third party liability insurance (automobile or personal injury)?

A: No. These are set up as self pay accounts. As a courtesy we will bill your insurance, but require payment at the time of service.

Q: Do you accept payment arrangements?

A: Under certain circumstances we will. Please contact our billing office for details.

Q: If the parents of a minor (child) patient are divorced, which parent is financially responsible for the child’s medical bills?

A: We consider the adult person who authorized the care to be the responsible party/guarantor.

Q: What forms of payment do you accept?

A: Cash, credit cards (VISA, MasterCard & Discover), check and money orders.

Q: Where can we make a payment?

A: Payments may be made at any of our offices. Mail payments should be addressed to:

Campbell Clinic, Inc.
P.O. Box 848988
Boston, MA 02284

Q: What do I have to send with my payment?

A: Include the name of the patient whose account is being paid, the patient account number and the tear off portion of the statement.

Q: If my account is not kept current are there late fees or penalties charged to my account?

A: Yes. Late fees are applied monthly. If no payment is made in 90 days, the account may be turned over to a collection agency.

Q: Why do I receive more than one bill when I am seen at the hospital?

A: When services are provided in a hospital facility, you will receive separate bills from each physician, including the orthopaedic surgeon, radiologist, pathologist, and anesthesiologist, as well as a bill from the hospital.

For further billing questions, call (901) 759-3188.

BILLING INQUIRY FORM
Please fill out this form in its entirety. All information entered in this form is strictly confidential.

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What's New:
UPDATED 8/30/2010


Dr. John C. Weinlein, trauma surgeon, joins staff. 

Did You Know:


Campbell Clinic has pediatric spine specialists.  

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