Insurance

Insurance Billing

We want to assist you in processing your insurance claims. However, it is important to realize that you have a contract with your insurance company. You must bring your insurance card with you! If your insurance requires a referral, you must be certain that we have the referral in our office prior to your visit. Applicable co-pays, co-insurance, and deductibles as specified by your insurance company will be collected at the time of your visit. We accept cash, Visa, Mastercard, Discover, or Check.

Our business office will file a claim for our services with your insurance company. Insurance billing is done as a courtesy and payment will become your responsibility if payment is not received timely. Any portion not covered by your insurance is your responsibility as well. If you have questions regarding your benefits please contact your insurance company.

CURRENTLY CONTRACTED NETWORKS*

  • Aetna – excluding Aetna Whole Health Plans, QHP, Value Performance Network, & any Medicare Advantage (replacement/product plan)
  • BlueCross BlueShield – excluding Medicare Advantage network & Secure HMO with XBX, XBL, XBK, or FQL prefixes
  • Cigna
  • Humana
  • Medicare
  • United Healthcare – including Pacificare

Medical Identity Theft Protection

In February 2009, the Federal Trade Commission’s Identity Theft Prevention Red Flags Rule was enacted. Medical offices are mandated to confirm the patient’s identity and validate medical insurance coverage to ensure that identity theft has not occurred. To safeguard your identity, we will make a copy of your valid picture ID issued by a local, state, or federal government agency (driver’s license, passport, military ID, etc.) and a copy of your current insurance card to confirm your identity.

*It is the patient’s responsibility to confirm that your health insurance is contracted with Southwest Shoulder Elbow and Hand Center, PC since agreements change annually. Please call our office (520) 290-4263 to confirm we are contracted with your insurance company.

Please know that while we do our best to assist patients in any way, if your health insurance is an HMO and requires that you obtain a referral, it is your responsibility to acquire this referral from your Primary Care Physician.