Making sense of medical bills can be challenging. Our financial counselors are here to help you through every step of the process–from understanding what is covered by your health insurance company to preparing you for what to expect for out-of-pocket expenses.
Insurance Authorization & Pre-Certifications
If a referral is required by your health insurance company it is up to you to ensure the referral has been obtained. This includes Authorizations and Pre-Certifications. SRM financial counselors are available to assist in this process and answer any questions you may have. Please note: failure to comply with your insurance company’s policies and guidelines may result in denial of claims making you solely responsible for all charges incurred.
SRM contracts with most major medical plans. The billing process for patients covered under these plans is as follows:
- After your visit, a claim, based on specific requirements, is created in our patient accounts system.
- This claim is sent to your health insurance company (if applicable) or directly to you if there is no insurance, or the services are not covered under your benefits. Your health insurance company will process the claims according to your benefit plan. Co-insurance and deductible amounts will be submitted to you in statement form for payment to our office if not collected at time of service.
- If a billing statement is sent to you it will include an itemization of your charges along with any payments received from your health insurance company. These payments and charges should correspond to the Explanation of Benefits (EOB) you will receive from your health insurance company.
If you have coverage with a non-contracted insurance company, payment will be expected at the time of service.
SRM only bills for the services we perform. You will be billed separately for services performed outside of SRM directly from the outside provider.
Payments for deductibles, co-payments, and non-covered service are required at the time of services. For patients covered by a non-contracted insurance, full payment is due at the time of service. Billing statements are mailed on a 30-day cycle. For your convenience our office accepts checks, Visa, Discover, MasterCard, and American Express. Payment can be made in person, via phone at 877-777-6002 or through Online Bill Pay.
We currently accept: Aetna, Cigna, Group Health Cooperative, First Choice Health Network, Premera Blue Cross, Regence Blue Shield, United Health Care, and Tricare.