Frequently Asked Questions

Billing Frequently Asked Questions

The following represent several frequently asked questions about our insurance policies and billing procedures.

What is copay, coinsurance, and deductible?

This is the balance your insurance deems is your responsibility per your insurance contract.

What if I believe my insurance should have paid my balance?

You should contact your insurance company in this case. It is best to know the exact service date when calling them. If you are told the claim will be reprocessed, please ask how long it will take and then advise us of the information by calling 202.526.9705.

What is a Coordination of Benefits (COB) issue?

Often times, an insurance company will update their records on an annual basis. This includes verifying that you and/or your dependents are covered under just one health plan. This information can be updated only by the insured, not us. If we submit a claim and it is denied for this reason, your statement will reflect that additional information is needed from you. You will then need to call your insurance company and answer their questions over the phone. You will also need to advise them to reprocess any claims they have denied for this reason. We will continue to bill you for these services until they are resolved.

Can I make a credit card payment over the phone?

Yes! You can avoid sending your card information through the mail. We can take your information over the phone, process the payment and mail a receipt to you.

I don’t understand my benefits. How much is my copay?

Please contact your insurance carrier for further explanation of your benefits. Copay and deductible information is usually listed on the front of your insurance card.

How do I know the amount that you are billing me is correct?

Most insurance companies send an explanation of benefits (EOB) to the patient. The explanation of benefits details the amount paid to the physician and lists the patient’s responsibility if any. Please contact our billing department directly at 202.526.9705, or your insurance carrier if questions.

Do you offer payment arrangements?

Yes. Please contact our office immediately if you cannot pay the full statement balance.

How do I know if you are a participating provider with my insurance company?

Please refer to your insurance company’s provider directory or contact your insurance company directly.

Do I need a referral?

Please contact the member services phone number on your insurance card for verification.

What should I do if my insurance has changed?

Please call the billing office as soon as you know your new insurance company so the information can be updated, and to assure that the office accepts your new insurance company.

Glossary of Billing Terms

Below is a glossary of terms found on our billing statement:

CICP= copay and/or coinsurance

BSDD= BCBS deductible

INDD= insurance deductible

MCDD= Medicare deductible