We accept a variety of insurance plans, including Anthem, Humana, UHC, Optum Behavioral Health, Medicare, and Medicaid, as part of our payne service options.

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    • Home
    • About
    • Billing & Insurance
    • Patient Resources
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    • Calendar
  • Home
  • About
  • Billing & Insurance
  • Patient Resources
  • Contact
  • Calendar

Billing and Insurance Information

Billing Overview

Payne Nursing Services (PNS) now performs all billing for our patients. We partner with Tebra, a trusted healthcare billing platform, to ensure accuracy and efficiency.

  • Our team is committed to following proper billing procedures and monitoring compliance.
  • If you notice an error, please contact us immediately so we can resolve your concern quickly.

Paperless Billing

We have nearly eliminated paper statements. Instead, we use secure text and email notifications, allowing you to:

  • View your account online
  • Make payments directly through the patient portal

Payment Options

  • Patient Portal: Secure online payments
  • Credit Card & Check: Accepted
  • Cash Payments: For safety reasons, we respectfully request that cash payments not be made

In-Network Insurance

We are in network with the following providers for Medicare, Medicaid, HIP, and Commercial benefits:

  • Anthem
  • UnitedHealthcare
  • Optum Behavioral Health
  • Humana

We also accept:

  • Traditional Medicare
  • Traditional Medicaid

Important Notes:

  • We are not in network with Managed Health Services (MHS), but they generally cover visits. Patients must confirm coverage with their insurance provider.
  • We do not accept CareSource for any reason. 

Out-of-Network Insurance

Effective November 5, 2024
We assist patients and legal representatives in submitting claims to out-of-network insurance companies.

Guidelines:

  • Insurance Information Required: Provide complete and accurate insurance details at every visit.
  • Timely Filing Limits: Most insurers require claims within 90 days of service. Missing this deadline may result in the patient being billed for the full balance.
  • Responsibility for Denied Claims: Failure to provide valid insurance details may result in claim denials, and outstanding charges will become the patient’s responsibility.

Medicaid & Medicare

  • Medicaid patients: You should not receive additional bills.
  • Medicare patients without secondary insurance: You remain responsible for applicable copays and deductibles.

Refund Policy

In the event of an overpayment or billing error, refunds will be issued after account confirmation.

Check Payments:

  • Refunds processed via check and mailed to the legal representative via USPS.
  • Allow 3–5 business days for processing after confirmation.

Credit Card Payments:

  • Refunds within 90 days of the transaction will be credited back to the original card.
  • Processing time: 2–3 business days, plus 2–3 days for the credit to appear on your statement.
  • Refunds requested after 90 days will be issued via check.In the event of an overpayment

We are committed to providing exceptional customer service to our patients and their families, and we always go the extra mile to ensure their satisfaction.


Carla Payne, NP

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