At ProMedica Physicians, we make every effort to process your bills and insurance claims accurately and quickly.
Have questions regarding your bill or claim? Please call us at 419-824-7250 or 1-800-936-7250. Remember that specific questions about your individual insurance coverage, deductible, copay, and referral network can only be answered by your insurance company or employer.
ProMedica Physicians accepts cash, checks, Visa, MasterCard, and Discover.
Insurance Billing Process
- Bring a current insurance card to every appointment.
- We submit claims to primary and secondary insurance carriers.
- Any balance not payable by insurance is considered the patient’s responsibility. A statement reflecting that balance will be mailed to you. The full payment is due at that time.
- All copayment amounts are due and payable at the time of every appointment.
- Please be prepared to pay any outstanding balance at your next visit or when you receive your statement.
- You may be charged a “no show” fee if you fail to cancel at least two hours before your scheduled appointment time.
We’re considered “participating physicians.” This means that we’ll submit claims to Medicare on your behalf. Medicare will send a check to ProMedica Physicians for 80 percent of the approved amount, minus the patient’s Part B deductible.
- The patient is responsible for the remaining 20 percent of the approved amount, plus the annual Part B deductible.
- Any portion of the bill not covered by Medicare or a secondary insurance carrier is your responsibility.
- If you have supplemental insurance coverage, please make sure we have a copy of your insurance card.
Guarantor Policy for Dependent Children
Payment responsibility rests with the parent or guardian who brings the dependent child to the initial office visit and signs the treatment authorization (the “authorizing parent/guardian”).
Payment for subsequent visits is the responsibility of the authorizing parent/guardian, regardless of who brings the child into the physician’s office. This applies to cases of divorce, annulment, dissolution of marriage, or legal separation. Our offices are not impacted by court orders or judgments. Any issues regarding payment must be resolved by the parents or guardians and the court system. Patients 18 years of age or older are considered the guarantor regardless of who carries the insurance.
Workers’ compensation claims are considered to be the patient’s responsibility until a valid workers’ compensation number is obtained from your employer.
Auto accident claims are billed to the patient’s medical insurance. Any co-pay, coinsurance, or deductible is your financial responsibility. If the insurance company denies the claim, you are responsible.
Obstetrical Payment Plan
All deductibles, copayments and patient balances are to be paid in full by the patient’s 28th week of pregnancy. Monthly payments may be arranged with the office staff to satisfy this financial responsibility.
Financial and Medical Assistance Programs
Are you eligible for assistance? Here are some factors that may qualify you for financial assistance:
- You're not eligible for Medicaid.
- You don’t have health insurance or any other form of third-party payment for your health care.
- Your family income is below 200 percent of the federal poverty guidelines (family income proof is required).
If you think you meet these requirements, please contact us at 419-824-7250 or 1-800-936-7250, from 8 a.m. to 4:30 p.m., Monday through Friday.
For More Information
If you have any questions or need clarification, contact us at 419-824-7250 or 1-800-936-7250, from 8 a.m. to 4:30 p.m., Monday through Friday.