Insurance Billing

At this point we do direct billing for:

  • HCHP for plans with coverage
  • Blue Cross, United Health Care, Tufts Plans, and any other plans for which we can verify acupuncture benefits
  • Workers Compensation,
  • Auto accidents
  • Veterans referred through the VA Medical center with preauthorized visits.

Should you have insurance with a company that does provide coverage, and we are able to verify coverage, we are happy to discuss billing options with you.  In order to verify coverage with our billing service, please click the button below and fill in the information.  We are generally notified by them of coverage eligibility within 1-2 days. Please Note: In order to bill your first appointment, we must first have verified your coverage.  If that is not done PRIOR to your first appointment, you will be expected to pay in full.  You will be reimbursed any overpay once we are able to verify coverage.

Eileen & Geoff are on the panel for Harvard Pilgrim for both the discounted plan and for those who have 20 visits per year covered with a copayment.

 

Verify Your Insurance

Out of Network Coverage:

A number of insurance plans with acupuncture coverage will reimburse providers who are not in network.  Once we have verification of your coverage details, we will inform you of the benefits and restrictions.  If we are out of network with your insurance company, we do not know until we receive a payment what they will reimburse for our services.  While most often the reimbursement amount is acceptable without additional charges to the client, there are times when what is deemed “reasonable and customary” is way below our fee.  When this happens, the patient is responsible for the balance of the fee.

Therefore, we require patients to keep a credit card on file in the event that we do not get paid at least our regular fee, including your copayment.  We don’t charge without contacting you first to make sure that you are fully aware of the details.  It is very important to us in our relationship with our clients that financial problems or disputes are handled in a way that feels honest and respectful up front.  Thanks for understanding and appreciating this policy.

Please Read To Understand

How Insurance Billing Works

Late Cancellation/Missed Appointment Office Policy for our Insured Patients:

Insurance billing is a service that we provide to make it easier for you to access acupuncture services, and we are happy to do so.  There are costs associated with billing the insurance companies on your behalf that we absorb to provide that service.

We ask that you be mindful of the fact that when a patient late cancels with less than 24 hours notice, or doesn’t show for an appointment, we are not able to bill the insurance company for that time.  For this reason, insured patients are held to the same financial policy that we have for all of our patients.

Should you late cancel or miss an appointment, without a reasonable emergency, you will be responsible for the cost of the visit in full.  We deeply appreciate your understanding of this policy.

Before Your Deductible is Met:

While we are happy to bill insurances directly for you, we do incur a cost per date of service submitted.  When we receive payment from your insurance company for the date submitted, we consider this a cost of doing billing.  However, when we bill services that will be applied to your deductible, or services that are denied by your insurance, we are charged $5 per date billed.  Therefore, if we are at the beginning of your calendar/benefit year, you have two options:

 1. We expect payment in full up front until your deductible is met, and are happy to submit the dates of service directly to your insurance company through our billing company, for an additional charge of $5 per date submitted;
OR
2. We can supply you with proof of payment along with a detailed bill to submit to your insurance company until your deductible is met.
Please let us know what your preference is when we discuss payment and billing.  We hope you can understand and appreciate that it isn’t sustainable for us to do this any other way.