For our participating carriers, the Vereen Center will submit all claims and necessary supporting documentation on your behalf. Any co-payment required by your plan will be collected up-front at the time of your visit. After final payment has been received from your insurance company, you will be billed for any remaining patient due balance, as specified by your carrier. If deductibles have not been met, you are responsible for those.
If your insurer is not contracted with the Vereen Center, you will be considered an out-of-network patient. The Vereen Center will, as a courtesy to you, submit your claim to your insurance carrier. However, your out-of-pocket expenses may also be higher than those with a provider who participates with your insurance plan. Please note: For those insurance carriers that the Vereen Center does not participate with, the claim check may be mailed directly to you. In these cases, you agree to and are responsible for signing and forwarding the check to our billing office.
You will be responsible for ensuring that we have all necessary referrals or pre-certifications prior to your scheduled appointment. If you do not have a referral or pre-certification in place when you arrive for your visit, you may be held responsible for payment of your visit or your appointment may need to be rescheduled.
Insurance Plan Participation
Our participation in plans are regularly undergoing review and changes. The following list includes the major Insurance Plans with which the Vereen Center participates. If you do not see your plan listed, please call our office to see if we are a participating provider with your plan. This list may change from time to time, so we recommend that you contact our practice or your insurance company to verify our practice’s participation in your insurance plan when making an appointment.
- Aetna
- Amerigroup
- Beech Street
- Blue Cross/Blue Shield
- Care Improvement Plus
- Cigna/Great West
- Choice Care Network – Humana
- First Health
- Medicaid
- Medicare
- Multiplan
- Nova Net
- Peach State
- SuperMed
- Tricare
- United Healthcare
- Wellcare
- Workers Compensation:
- Integrated Health Plan
- Nova Net
- Three Rivers
Information about your insurance coverage will be taken when you register for your first appointment. In order to submit an insurance claim for you, we need proof of your insurance identification (insurance card). If you need to update your insurance information, please contact our office as soon as possible. Please remember that insurance plans do not necessarily cover the entire bill. We understand that insurance coverage can be complicated, so if you have questions or need assistance please call the Vereen Center office.
Workers Compensation
The Vereen Center will submit “open” claims only, on your behalf, unless we are aware in advance that the claim will be denied. It is the patient’s responsibility to provide the office staff with complete insurance information, as well as your case management contact and phone number. The Vereen Center will bill your primary health insurance in cases where worker’s compensation denies the claim for any reason. Any balance not paid by the worker’s compensation carrier or primary health plan will be the patient’s responsibility.
Motor Vehicle Accident (MVA) & Litigation Cases
The Vereen Center does not recognize MVA or Litigation claims. As such, you will be classified as a self-pay patient unless you have active health insurance coverage as specified above, in which case we will submit all claims to your health insurance carrier. If your commercial health insurance carrier then determines that the claim should be refunded due to third party liability, you will be responsible for the bill to handle through a litigation attorney. Liability action against someone else is not a reason to delay payment. Payment of the bill is the responsibility of the individual who has received the treatment, not the individual who is being sued.
Self-Pay Policy
New patients who are self-pay must pay for their initial visit up-front at the time of visit in cash, personal check, credit card, or money order.
Cancellation Policy
A 24-hour notice is required for cancelled appointments. Repeatedly not showing for your scheduled appointment may result in discharge from the practice.
Returned Checks
A fee of $20.00 will be charged to your account for any/all returned check(s). All future payments must then be made in cash, charge, money order or bank check.
