Patient Information

We are credentialed with Traditional Medicare and Traditional Medicaid.  

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. 

We have not moved forward with credentialing with Medicare Advantage plans or Medicaid Managed Health plans due to requirements of provider availability. At this time Carla is the only provider seeing patients in the office which limits the ability to be available 24 hours a day and 7days a week. In the future, we may pursue these options. 

As of November 5, 2024, we are collaborating with our billing department to assist patients and their legal representatives in the billing process for commercial insurance when our services are provided out of network.

In most instances, our patients utilize Medicaid as a secondary payer. In these cases, the primary insurance is identified as the commercial insurance, which must be billed prior to Medicaid accepting the claim for services rendered.

Affected individuals will be notified either via telephone or through the patient portal. We are dedicated to ensuring that every possible effort is made to minimize any complications that may arise during this process.

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.