Here you find answers to our most frequently asked questions. Click on the question to read our response. If you do not find the information you need here, please contact us.
A: At this time, ARMC and the AtlantiCare Surgery Center are the only AtlantiCare affiliates equipped to accept online payments. In the future, we plan to add online billing for other AtlantiCare services.
A: Payment in full is requested upon receipt of your bill. However, we will be happy to work with you to resolve your balance if you are unable to make a full payment immediately. For more information, please contact our billing department at (609) 407-2550.
It is often confusing to patients if they know they were not physically present on campus on a certain date for which they are receiving a bill. Usually, the answer is that, when you were a patient in your doctor’s office, he or she obtained a blood or urine specimen which was then sent to the hospital laboratory for processing. For those services, you will receive a bill. Examples of these types of situations include:
Women who visit their gynecologist and have a Pap smear.
A: Yes, as a courtesy to our patients, the AtlantiCare Surgery Center will submit the bill to your insurance carrier and will assist if problems arise. You are requested to supply the pertinent billing information that the insurer may require. For Example: a referral for the specific date of service.
A: Your insurance carrier may deny the claim for one or more reasons. It is always best to call member services at your insurance carrier to discuss your account. Some popular denial reasons are:
A: Most insurance plans require you to pay a deductible and/or co-insurance. In addition, you could be responsible for non-covered services and co-pays for some services such as those rendered within the emergency room and for specialist visits. You may also wish to call member services at your insurance carrier for more information.
A: You are ultimately responsible for the total bill or any portion of the bill that your insurance carrier did not pay. The AtlantiCare Surgery Center's billing professionals will make every effort to resolve the account balance with your insurance carrier in a timely manner. Occasionally, we are unable to resolve the issue with your carrier and will need your assistance.
A: The best patient is an informed patient. Read your insurance booklet to be sure you are following all the guidelines for referral and authorizations, or call member services at your insurance carrier for assistance. Failure to follow your plan requirements could result in greater out-of-pocket expenses for you. Your primary care physician plays a very important role in this process. If you receive a verbal authorization number, please provide this information at registration.
A: If you receive your healthcare services from a hospital, physician or other health provider that participates in your health plan, they care considered “in-network”.
A: Your benefit booklet or provider directory should provide this information for you. If not available, call member services at your insurance carrier and they should be able to help you.
A: When your personal information changes, you should always notify your medical providers of the change.
A: When you experience any changes regarding your health insurance, you should contact all the providers that offered medical services to you.
A: Consult your health plan’s member services unit directly.
A: Your type of insurance will affect when you actually receive a bill from the Surgery Center. Typically, you will receive a bill after your insurance company has processed the bill with either a payment or rejection. There might be times when your insurance has not responded to our request for payment. You may be asked to become actively involved in resolving the open balance.
A: Yes. You must complete this form or your insurance company will not pay your bills. Sometimes if an insurance company notices that the diagnosis on the bill is the result of an accident, the insurance company will want more information to determine if someone else or another insurance company should be paying the bill.
A: Yes. Any request for information from your insurance company is very important. Coordination of benefits means that your insurance company thinks you may be covered by another insurance plan in addition to their coverage. By sending you the questionnaire, they are trying to determine which insurance is responsible for paying What happens if I don’t agree with my insurance company on their determination of not covering my bill? Do I still have to pay the Surgery Center?
A: Yes. You are still responsible to pay the Surgery Center bill even if you disagree with your insurance company on its determination of nonpayment for the service. At the time of each service, our patients sign a document, which indicates that, upon receipt of a bill from the Surgery Center, they will pay the bill. However, you are empowered to pursue your disagreement with your insurance company through a formal grievance process. Most insurance companies have outlined the grievance procedure in your benefits pamphlet.