Do we accept cash payments?
We accept cash payment. Your cost is based on a formula which we will review with you at the time of service. Our contracted insurance rates are a significant savings from emergency rooms and our cash pay rates offer similar savings. Please call us and we can discuss your specific questions.
- A copay, short for copayment, is a fixed amount a healthcare beneficiary pays for covered medical services. The remaining balance is covered by the person's insurance company.
- More simply, the share of medical expenses that you are expected to pay. A copayment is a specific dollar amount you are usually asked to pay at the time you receive healthcare services. An office visit to the family doctor will have a copay. A coinsurance is a percentage of the allowed charges.
What is a deductible?
Serving Maryland, the District of Columbia and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. And Group Hospitalization and Medical Services, Inc. CareFirst BlueCross BlueShield Medicare Advantage is the business name of CareFirst Advantage, Inc. CareFirst BlueCross BlueShield Community Health Plan District of Columbia is the.
A deductible is the amount of money you must pay towards your medical expenses before your insurance kicks in. This means you are responsible for your complete bill until you have paid as much as your deductible. For example, if your deductible is $2000 you will be responsible for this much money out of pocket before your insurance starts to cover your bills.
What is coinsurance?
Coinsurance is your share of your medical bills which usually does not kick in until after your deductible is met. Once you have met your deductible you may be required to pay coinsurance which is often a percentage of each bill. This is tricky because every insurance plan is different and within each plan you may be responsible for a different coinsurance percentage depending on the type of service.
What is a co-pay?
A co-pay is a set amount you pay at the time of a particular service usually when that service is received. The amount varies depending on your insurance and the type of service you are receiving. Typically and urgent care copay is much lower than an ER copay and your pharmacy benefit will often have tiered levels of medication copays.
Will I have more than one bill?
We strive to keep our bills simple. You will receive one bill from us unless you have a radiology study completed and then you will receive a bill for the radiologist read. Our board-certified radiologists are in-network and are worth every penny of their expert read.
Are our physicians in network?
What is the difference between in-network and out-of-network?
![Copay Copay](/uploads/1/1/8/8/118883393/796915577.jpg)
Cross dj. There are many different kinds of healthcare plans administered by many companies making it difficult to provide detailed information, but we are always happy to answer questions by phone.
![Copay Copay](/uploads/1/1/8/8/118883393/279808345.jpg)
In general, if you visit an in-network provider your costs may be lower. This is because a contract implies that your insurance company and physician have contracted rates that are lower than out-of-network costs. Meaning, if you have a coinsurance percentage that you pay, a lower bill means your percentage will be lower. In some plans going out of network means that you are responsible for the entire bill and in others you may be responsible for a portion of the bill. Our goal is to develop contracts with every major insurance plan. Please call us to determine of your insurance company has contracted with us yet.
How do we determine your payment?
If your insurance company has contracted with us, we work on a tiered system comparable to how an emergency department bills: level 1-5. Level 1 is the most basic care and level 5 is the sickest of patients with life-threatening emergencies often requiring intervention and admission to the hospital. Levels 2-4 gradually increase in severity each requiring a higher payment. Our level one and two costs are similar to urgent care fees. Our level three through five acuity is similar to ER patients and these costs are typically less than 30% of ER costs for similar care.
We’re continually adding new insurers. For specific insurers we work with now, please call us at (719) 522-2727.
CALL WITH CHEST PAIN QUESTIONS
(719) 522-2727
Our staff is ready for you Sunday-Thursday from 11:00 A.M. – 10:00 P.M. and Friday and Saturday 11:00 A.M.- 11:00 P.M.
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It’s important to understand your health insurance benefits and how your claims are processed. Your insurance provider will send you an Explanation of Benefits (EOB) document to explain what was paid or denied on your claim. Gooseneck paint brush home depot.
Understanding key terms can help you make sense of these complex documents. While each insurance provider uses a unique format for EOBs, they all typically include the following common language and information. Best online poker sites for freerolls.
Uc Copay Meaning Definition
UnitedHealthcare® chose Quest for its Preferred Lab Network. That means members get big savings on lab tests.
Ucsd Pay Scale
Term | Description |
---|---|
Account Number or Invoice Number | Each bill is given a number by the service provider, such as the hospital, doctor, or lab. Quest uses the term 'Invoice#.' |
Amount Paid | The part of the bill that has been paid by the insurance company. |
Allowed Charges | The part of the bill that the insurance company approved to be paid. |
Capitation Accounts | These clients (such as HMOs, IPAs, physicians, etc) pay a fixed rate based on the number of members and/or tests per month. Capitated clients usually provide services for HMOs. (See also: IPA) |
Claim Number | Your insurance company gives each claim a number. This number is often on the insurer’s reply to Quest when handling your claim. |
Coinsurance | The part of the bill that must be paid by the patient. It is usually a certain percentage. |
Contract Charges | The part of the bill that you and your insurance do NOT need to pay to Quest. This amount is based on a contract between the insurance company and Quest. |
Coordination of Benefits | The part of the bill that must be paid by another insurer. This happens if you have coverage from more than one insurance provider. |
Copay | The part of the bill that must be paid by the patient. It is usually a fixed dollar amount. The copay is typically paid at the same time you have the service. |
Date of Service | The date when the lab testing was performed. |
Deductible | The amount you pay for covered services in a year before your insurance starts to pay. |
Excess Over UCR | The part of the bill that exceeds charges allowed by your insurer. This amount is based on contracts between the insurer and Quest. UCR stands for usual, customary, and reasonable. (See also: UCR) |
Explanation of Payment | The section of an EOB that explains how payments were made and any payment codes used. |
In Network | These healthcare providers partner with your insurance plan for discounted rates. Find out if Quest is in network with your plan. Use our Insurance Providers search tool. |
IPA | Stands for Independent Practice Association. It is a group of independent doctors. (See also: Capitation Accounts) |
Non-covered | A service NOT included in your insurance coverage. It won’t be paid by your insurer. You may have to pay this amount. |
Patient Information | Your personal details. This includes patient name and ID. It also includes responsible party, subscriber and more. |
Patient Responsibility | The patient must pay this part of the bill to the provider (such as Quest.) This includes 'not covered' amounts, deductibles and any part of the balance. Note: This does not include copays. But copays are also the patient’s responsibility. |
Preferred Lab Network (PLN) | Health insurance companies assign preferred status to the laboratory providers that meet or exceed important standards. Some of the criteria include high quality of care, low average costs, easy experience, short wait times, and fast results. When they choose a lab in their preferred lab network, health plan members typically pay even lower costs for testing than when using another in-network provider. |
Provider Information | The name and address of the service provider or payee. It may also include the account and provider numbers. |
Service Code | This code indicates the service provided. |
Submitted Charges | The amount Quest billed you or your insurance company. |
Units | The number of items in the health or testing service you received. |
UCR | This stands for usual, customary, and reasonable. The fee for services based on what local providers charge. (See: Excess Over UCR) |