Payment is expected at the time services are rendered. For your convenience, we accept cash, checks, and most major credit cards.
If we are contracted with your insurance carrier, we will help you file insurance for covered services. It is your responsibility to call your insurance company to make sure that we are an in-network provider. Co-pays for managed care plans are due at the time you are seen.
If we are not contracted with your insurance company or if you are a self-pay patient, you will be responsible for payment at the time of your visit. We will be happy to provide you with the overall bill that we use so that you can file it with your insurance company.
Lab Tests - Who is responsible?
Healthcare and insurance are changing rapidly now that the beginning stages of the Affordable Care Act have gone into effect. We are finding that insurance companies that have paid for virtually all laboratory testing in the past are now being much more selective about the type of tests that they are paying for. We are also finding that many more patients have high deductible insurance plans and are therefore responsible for larger portions of their bills.
Please understand that we cannot know which tests are covered by your individual insurance. Each insurance policy is different and not every insurance plan allows annual lab work. It is your responsibility as the patient to know whether your insurance company will cover annual blood work. Our interest is in providing you with good medical care, taking advantage of all the recent technologies and testing that help to ensure your good health.
Very often we are unaware of the actual costs for a given test. It is your responsibility to know what your insurance plan will cover at the time of your visit. Every insurance plan is different, we will not be held responsible for what your insurance considers as annual lab work.
Be assured, our interest is solely with providing you with modern, high-quality care. We are as frustrated by the changes in healthcare policy that lead to these issues as you are. We are on the same side. Please do not attempt to hold us responsible for issues that arise relating to the details of your insurance policy.
If your insurance requires you use a specific lab to utilize your benefits fully, please be sure to inform the nurse at the beginning of your appointment. Please remember that we send all lab specimens to an outside lab and we do not charge for the actual test. The lab will bill you separately if your insurance does not cover them.
Again, all laboratory and/or pathology procedures will be billed separately by the respective laboratory and are not included in our charges. Any questions regarding a bill for lab tests should be addressed directly with the laboratory.
1. Lab Corp: 800-845-6167
2. Quest: 800-366-6635
3. Propath: 800-654-1888
4. MDL: 877-333-9233
5. Myriad: 844-697-4239
Will You Change Coding For Your Services?
Many insurance companies have restrictions on the type of services that are covered by their policies. It is your responsibility to know these limitations. Kennesaw Gynecology cannot charge for services based on the limitations of your insurance policy. Government regulations dictate that all health care providers must submit claims that accurately reflect the services that are provided and documented in the patient’s medical record. To maintain compliance with these regulations and uphold the highest ethical standards, our staff is under strict guidelines that demand that they code services to the highest level of accuracy. Based on this, if you are seeing your physician for preventative services and at the same present additional problems and related issues, Kennesaw Gynecology will be required to charge for these additional services. This occurs when the additional issues addressed meet certain criteria that are considered above and beyond the scope of the preventative visit. Please do not ask our staff to change coding or diagnosis codes for the purpose of getting your insurance to make payment on services rendered.