Insurance / Billing
We participate with most insurance companies, including:
When you contact us we verify whether we are part of your insurance plan network, or will advise you otherwise. For scheduled procedures our Billing Department’s team will contact your plan for pre-authorization, but the final decisions about whether a claim gets paid is up to your health plan. Whether you see us in-network or out of network, we will file your insurance claim forms for you. As always, check with your plan about any aspect of your coverage you’re not sure about.
- Emblem Health – GHI PPO
- First Health/Coventry
- Horizon BCBS
- Horizon Inner Circle Hackensack/Meridian
- Horizon Omnia
- Qualcare Inner Circle – transferred to Horizon effective 1/1/2018
- RR Medicare
- Tricare – Humana
- United Healthcare
- VA Choice
Copayments are due at the time of your office visit. We will bill your insurance company for services rendered and we will balance bill you after your insurance company has processed your claim.
We send monthly statements of personal balances due. You should appeal to your insurance plan if you think the plan has underpaid for the services or if you are unexpectedly denied coverage. You should receive a notice from your plan about how they covered the claim.
We accept personal checks, MasterCard, VISA and Debit cards.
Please notify us of your preferred pharmacy. Most prescriptions will be sent electronically to your pharmacy, so if we have the correct information, refills can be efficiently processed. . Please use the Patient Portal to request a prescription refill or call the office for prescription refills during regular office hours. We cannot call in prescription refills during nights and weekends. Prescriptions will usually be sent to your pharmacy within 24 hours. Please allow time for processing and contact your pharmacy to verify that a prescription has been renewed before you proceed to the pharmacy. Please contact us if the prescription has not been renewed in a timely fashion.
What do I need to bring in for my office visit appointment?
- Insurance cards
- Referral- If your insurance company requires a referral, you will need to obtain this from your primary care physician
- Current list of medications you taking
- Any recent blood work and/or radiology testing
How do I refill my medication?
When you call our office either ask or press the telephone prompts for the prescriptions department. You may speak to a live person or leave a message. Be ready to give your full name, date of birth, your phone #, medication needed and your pharmacy name and number. Please take note; all refills need to be evaluated by your doctor or a nurse practitioner for approval. If you have not seen your doctor in over a year, an office visit will be required prior to refilling your medication.
When can I obtain results on ordered tests and/or procedures?
Call our office to obtain your results, whether you are inquiring about blood work, radiology testing, procedures and/or biopsies. Please realize results may take up to two weeks for a final report.
What do I need to know about having a procedure?
Our office staff will give you detailed instructions at the time of you booking your procedure, however, here are some bullet points.
- Procedures are done either at our freestanding Ambulatory Surgery Center; Advanced Endoscopy Surgical Center, Monmouth Medical Center or Jersey Shore University Medical Center
- Timeframe needed on the day of your procedure is approximately 2 hours from start to finish
- You will need to have a responsible adult to accompany you home. You will not be able to drive, walk or take a taxi on your own.
- The responsible adult that accompanies you does not have to stay, you may be dropped off and they can return later within 2 hrs or someone can call them to pick you up if less time
- After your procedure, your doctor will speak to you regarding what to expect after your procedure, when to resume medications, and discuss any results (however, if a biopsy is done, this will take a few days for results)