We work with a variety of insurance plans that we bill directly. If you're covered by an HMO or PPO, your plan may have special requirements such as pre-authorization for certain procedures.
Your Insurance Policy
Your insurance policy is a contract between you and your insurance company. It's important for you to know the details of it, including co-payments, deductibles and other provisions.
If you have questions about your individual insurance plan, please contact your health plan's member services department. This phone number can usually be found in your benefit plan booklet or on your identification card.
Preparing for Registration
During registration, we'll ask you for information to help with accurate and timely billing. Please bring these items to your visit:
- Your identification
- All insurance cards
- All authorization/referral forms
We'll also ask you to sign a Release of Information, Assignment of Benefits and possible additional forms depending on the nature of your visit. If you've been a patient at Community Medical Centers in the past, please let us know if any personal or insurance information has changed since your last visit. Missing information could shift the responsibility for payment entirely to you.
Explanation of Benefits (EOB)
Most insurance companies issue the patient and the service provider an Explanation of Benefits (EOB) when the provider files an insurance claim for services rendered. The EOB lists the services rendered, information on how the claim was processed and paid by the insurance company, and the amount due to the provider from the patient, if applicable.
After we receive payment for a claim from the insurance company, we'll bill the patient and/or guarantor for any patient share due.