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Accepted Insurance

Commonly Asked Questions About Billing

Compass Medical is working hard to make online payment available to our patients in the near future. Until then, here are some answers to our most commonly asked questions. For further information, please call our Patient Accounts Department at (508) 350-2450.

I HAVE INSURANCE. WHY AM I RECEIVING A BILL?

There are multiple reasons why a patient could potentially receive a bill from Compass Medical, despite having insurance coverage. Many insurance plans require you to pay a deductible or co-insurance on certain services and procedures. There are also instances when a plan pays less than what is expected or what is agreed upon based on the provider/payer contract.

If we do not have your correct insurance information on file, the statement will indicate that you need to contact the Patient Accounts department to provide us with the accurate information.

WHY DID MY INSURANCE DENY THIS SERVICE? WHAT CAN I DO?

There are many reasons why your insurance plan may deny a service, lack of referral, non-covered or you’ve had the service too frequently within an allotted time frame. It is ultimately the responsibility of the patient to know the details of his/her benefit plan, including non-covered services. Therefore, it is imperative that you review the health benefits manual provided by your insurance or employer, prior to receiving any services. For specific details regarding the denial of services, patients should call their insurance company directly for more information.

WHAT IS A DEDUCTIBLE? HOW DO I KNOW HOW MUCH MY DEDUCTIBLE IS AND HOW MUCH HAS BEEN MET?

Some health insurance plans will include an annual deductible and it is extremely important that you understand the details of any deductible which is applied to your policy. The deductible is a sum of money which you will have to pay out of your own pocket before the insurance company starts paying out on any claims. So, if your annual deductible is $2,000 then you will have to pay the first $2,000 in medical bills each year before the insurance company will begin paying out. Contact your insurance company directly to determine how much your deductible is, what services it applies to, and how much of it has been met.

WHAT PAYMENTS AM I RESPONSIBLE FOR AT THE TIME OF MY VISIT?

All co-payments are due at the time of service. If there is additional financial responsibility, aside from your co-payment, Compass Medical will not know this until after your insurance is billed.

If you have no insurance, and are considered a self-pay patient, payment for services is usually due at the time of service. If you cannot make a full payment for the services, please contact the Patient Accounts Department to make payment arrangements for these services prior to being seen.

I RECEIVED LAB SERVICES AT COMPASS MEDICAL. WHY AM I RECEIVING A BILL FROM A DIFFERENT LAB?

Compass makes every effort to perform the majority of laboratory services at Compass. However, there are certain labs that must be sent out to a third-party laboratory. Since Compass Medical does not perform these labs, we do not bill these services and we do not have access to their billing system. If you have received a bill from a laboratory, please contact their billing department for more information.

CAN I MAKE A PAYMENT OVER THE PHONE?

Yes. Just call (508) 350-2450 and provide us with your Visa or MasterCard information and we will gladly process your payment.

CAN I MAKE A PAYMENT ONLINE?

Compass Medical patients can pay their bill online if they have a patient portal account. Click here for more information.

I CAME IN FOR A ROUTINE PHYSICAL. WHY WAS MY INSURANCE ALSO BILLED FOR AN OFFICE VISIT?

In addition to your scheduled physical, your provider also documented a separate, problem-focused evaluation and management service at the time of your visit. AMA CPT Guidelines (Current Procedure Terminology) state “If an abnormality/ies is encountered or a pre-existing problem is addressed in the process of performing this preventive medicine evaluation and management service, and if the problem/abnormality is significant enough to require additional work to perform the key components of a problem-oriented E/M service, the appropriate office code should also be reported.” Compass Medical follows these guidelines when appropriate to ensure billing compliance. If you do not agree that an office visit should have been billed in addition to the physical, you can request an audit of the notes for this date of service to ensure accurate coding by the provider.

I CAN’T PAY MY FULL BALANCE. CAN I MAKE PAYMENT ARRANGEMENTS?

Absolutely. If you cannot make payment in full on an outstanding balance, please contact the Patient Accounts’ Department to speak with one of our representatives. She will happily assist you in establishing a payment plan/budget agreement that works to pay down the balance quickly without hurting you financially. As long as you make consistent monthly payments during this arrangement, your account will remain in good standing.

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