BILLING OVERVIEW 

Insurance Billing

Advanced Cardiac Specialists billing department will submit bills to the patient’s insurance plan if the patient has supplied us with current and correct information.  Our policy is to allow the insurance carrier 60 days to pay a claim.  If a payment has not been received from an insurance carrier within 60 days, we may request the patient’s assistance in working with the insurance carrier for payment.

The insurance carrier is a contract between patient, patient’s employer and/or patient’s insurance company.  It is patient’s responsibility to know and understand their plan benefits, as well as any deductible and co-payment amounts that they are responsible for paying.

Please note: not all services are covered in all insurance contracts.  If patient’s insurance plan does not cover a service or procedure, the patient will be responsible for the charges. 

Automobile insurance can be billed for any motor vehicle accident with no payment required at the time of service.  It is the patient’s responsibility at the time the services are rendered to give the motor vehicle insurance information along with the insurance claim number.  However, patients will be billed for any remaining balance after 60 days.

Co-payments

It is the policy of Advanced Cardiac Specialists that patients are prepared to pay their required co-payment at the time service is rendered. 

Self-Pay Patients

All patients that present without valid insurance information are considered Self-Pay patients.  It is the policy of Advanced Cardiac Specialists to offer a 50% discount when full payment is received at the time of service.  Please be prepared to make this payment with our front office personnel at the time of check out.

Should you have insurance but are unable to provide information at the time of your visit you may contact our billing office at 480-288-4089.

Referrals and Pre-Authorization

If the patient has an HMO or a Multi-Tiered HMO health insurance plan, it may be necessary for the patient to obtain a referral before making an appointment with an Advanced Cardiac Specialists specialist.

If the patient’s Primary Care Physician is not an Advanced Cardiac Specialists provider, patient must provide proof of referral upon scheduling their appointment.

Many insurance companies, including HMO (managed care) and PPO, require a primary care physician to initiate referral and authorization processes for services rendered inside and/or outside of our clinic.

Various specialty services may require additional review by the health insurance plans.  Some examples of services that require review or pre-authorization are: diagnostic testing, sleep studies, physical therapy, procedures, surgeries, medical equipment, home health care and second opinions.

Our goal is to provide services in a timely manner.  However, once the request is transferred to the insurance company and additional review is required, we must await their response.

Statements

Patient statements are sent out monthly.  Payment is due upon receipt.

To inquire about a statement that you have received for physician services, please contact the Billing Office at 480-288-4089.

We accept Cash, Checks, Visa, Master Card and American Express.  (Please do not send cash in the mail.)