New Patients : click here.
Insurance accepted :
Aetna
AMBETTER
Health Plan of Nevada
Humana
Medicaid of Nevada
United Healthcare
Blue Cross Blue Shield
BC/BS of Nevada / Anthem
Silver Summit Health Plan
Insurance Disclaimer :
“A quote of benefits and/or authorization does not guarantee payment or verify eligibility. Payment of benefits are subject to all terms, conditions, limitations, and exclusions of the member’s contract at time of service.”
Insurance Liability for Payment: We order services, treatments, tests and referrals which we deem necessary for managing your medical condition, based on our training, medical education and experience. Sometimes the insurance would not cover some or all of the tests we order. Your health insurance company will only pay for services that it determines to be “reasonable and necessary.” Every effort will be made by this office to have all services and procedures preauthorized by your health insurance company, when applicable. If your health insurance company determines that a particular service is not reasonable and necessary, or that a particular service is not covered under the plan, your insurer will deny payment for that service. We suggest to all patients that they contact their insurance to confirm that these services are covered. Under this arrangement, you are responsible for paying your co-pay, any non-covered portions, and any deductible you have yet to cover. In addition, if your insurance company does not pay for our services, you agree to pay for the services provided in our clinic.
Beneficiary Agreement: I understand that my health insurance company may deny payment for the services identified above, for the reasons stated. If my health insurance company denies payment, I agree to be personally and fully responsible for payment. I also understand that if my health insurance company does make payment for services, I will be responsible for any co-payment, deductible, or coinsurance that applies.
Timeliness : We would submit to your insurance all requests for referrals, prior authorizations, imaging and lab studies in a timely fashion, most of the time within two working days. Please note that in many cases the processing of our requests takes a longer time due to circumstances beyond our control. We can not guarantee that the requests we submit to your insurance will be approved and resolved within a certain time frame.