Insurance & Billing

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We’re here to answer your questions related to billing and insurance. Review some of the commonly asked questions regarding insurance and billing below. 

FrequEntly asked insurance & billing questions

Payment for all medical services is due at the time of service unless Core Dermatology is contracted with your insurance company.  Your insurance is a contract between you, or your employer, and the insurance company.  Please make sure Core Dermatology is an in-network provider before you have services rendered to avoid any unexpected expenses from denied services on your behalf.

If your insurance requires you to pay a copay, you will be asked to pay this amount at the conclusion of your visit.  The copay is your financial responsibility for coverage with your insurance plan.

Core Dermatology has an in-house pathology lab and any services provided by this lab will be billed to you in a statement.  At times, Core Dermatology utilizes the Mayo Clinic Reference Lab, the Goldfinch Lab or Castle Biosciences if additional testing is needed.  Any services provided by these labs will be billed separately by those entities and not on a statement from Core Dermatology.

LabCorp is the preferred laboratory for bloodwork utilized by Core Dermatology.  You will receive a separate bill for any bloodwork from LabCorp.

Core Dermatology has no direct knowledge of individual insurance plans.

Our revenue cycle specialists can explain the process and try to answer your questions, but we often cannot give answers to specific questions about insurance coverage before your visit. These questions should be addressed to your insurance provider.

Health Sharing Plans are not considered insurance by the federal government and are not regulated by the Department of Insurance; therefore, Core Dermatology will treat those patients as uninsured.

A Good Faith Estimate will be provided to you prior to services being rendered with an itemized list of expected services and associated costs. This is only an estimate and can vary up to $400 depending on the medical care deemed necessary by your provider.

Insurance providers determine which services they will and will not cover. While Core Dermatology may not be able to answer specific questions about your plan and coverage, we will do our best to clearly explain the process and services included on your bill.

If you have questions about your insurance policy or its coverage or feel that your claim was not processed correctly, we advise you to contact your insurance provider.

When we estimate the cost of services before a procedure or visit, we provide an approximate cost based on similar procedures and the stated reason for the visit. However, not all procedures or visits are the same, making an exact dollar amount difficult to predict. Your bill will reflect the personalized care you received during your treatment or procedure.

We’re pleased to offer you several ways to be notified of medical bills. 

  • Paper bills delivered by postal mail
  • Email, which includes a link to pay your bill
  • Patients may receive a text message from 31692 alerting them to a bill and providing a payment link

Payment can be made in a variety of ways:

  • Our website offers an express pay option
  • The patient portal allows patients to review their bill and submit payment
  • Payment by check or credit card can be mailed with the top portion of the statement
  • Our billing department can assist with payments by calling 888-561-2455

Deductible: The annual amount you and your family must pay each year before the plan pays benefits.

Coinsurance: The percentage of a covered charge paid by the plan.

Copayment (Copay): A flat dollar amount you pay for medical or prescription drug services regardless of the actual amount charged by your doctor or health care provider.

In-Network: Use of a health care provider that participates in the plan’s network. When you use providers in the network, you lower your out-of-pocket expenses because the plan pays a higher percentage of covered expenses.

Out-of-Network: Use of a health care provider that does not participate in a plan’s network.

Out-of-Pocket Maximum: The maximum amount you and your family must pay for eligible expenses each plan year. Once your expenses reach the out-of-pocket maximum, the plan pays benefits at 100% of eligible expenses for the remainder of the year.

Questions about Billing?

We understand how confusing the medical billing process can be. Our billing team can help you understand the process.

If you have questions, please fill out the form below or call our billing team at (888) 561-2455.

 

Insurance Questions Form

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