Patient Information

We are In-Network with 

Anthem: Medicaid, HIP, and Commercial Plans

Optum Behavioral Health

Humana

Traditional Medicare

Traditional Medicaid

Aetna: Credentialing Pending

Most managed care plans for Medicaid will cover visits with our clinician but it is the responsibility of the patient, caregiver, and/or guardian to confirm with their insurance. 

Important Insurance Information – Effective November 5, 2024

To better support our patients and their legal representatives, we are now working closely with our billing department to assist in submitting claims to insurance companies with whom we are not in-network.

Please note the following important guidelines:

• Insurance Information Required at Every Visit:
  It is essential that you provide complete and accurate insurance information at each visit. This includes all active insurance policies, including Medicaid and Medicare.
• Timely Filing Limits:
  Most insurance companies have strict deadlines for claim submissions, typically ranging from 90 days to 6 months from the date of service. If we do not receive your insurance information in time and a claim is denied due to missed deadlines, the patient or responsible party will be billed for the full balance.
• Responsibility for Denied Claims:
  Failure to provide valid insurance details at the time of service may result in claim denials. In such cases, any outstanding charges will become the responsibility of the patient or their representative.

We appreciate your cooperation in helping us ensure timely and accurate billing. If you have any questions, please contact our billing department.

Payne Nursing Services employs a billing team that collaborates with AdvancedMD to manage the intricacies of the billing process. This team is also instrumental in addressing claim denials. Furthermore, we have a certified coder on staff who assists in overseeing the billing operations in conjunction with AdvancedMD. Together, this team is committed to diligently adhering to and monitoring appropriate billing procedures.

Our objective is to eliminate the necessity of sending paper bills to our patients. Should you receive a bill that you believe to be in error, we encourage you to contact our office directly. We will ensure that you are connected with the appropriate team member to address and resolve your concern.

For patients with Medicaid, it is important to note that you should not receive any additional bills. If you are enrolled in Medicare without secondary insurance, you will remain responsible for any applicable copays and deductibles.

PNS is currently in the process of establishing online payment options through the patient portal. Once this feature is enabled, individuals will be able to settle any outstanding balances conveniently online. In the interim, we encourage you to contact the billing department for payment arrangements; their contact number is included on the statement you have received.

We accept payments via check and credit card; however, we respectfully request that cash payments not be made for safety reasons.

In the event of an overpayment or billing error, a refund will be issued following the confirmation of the account status.

For payments made by check, refunds will be processed in the form of a check. This refund check will be mailed to the legal representative of the account via standard United States Postal Service. Please allow 3-5 business days for processing subsequent to the confirmation of the account status.

Payments made by credit card will be refunded to the original credit card used for the payment if the request is made within 90 days from the date of the transaction. Please allow 2-3 business days for processing the credit card refund after the account status has been confirmed, as a charge reversal is required. Additionally, it may take an extra 2-3 days for the refund to be reflected on your credit card statement.

For credit card payments made more than 90 days after the transaction date, refunds will be issued via check sent to the legal representative of the account using standard United States Postal Service mail. Please allow 3-5 business days for processing after the confirmation of the account status.

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.