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Billing Process
Medicare
We bill Medicare and your secondary insurance following receipt of Medicare's payment. Once your secondary insurance has been billed, you will receive periodic statements advising you of the balance due. GoldenHealth PLUS patients should not receive billing statements for hospital in-patient charges, other than services not covered by Medicare Part A. You will receive bills for physicians, hospital out-patient and Medicare Part B services.
PPO/EPO/HMO (Managed Care)
We will bill your contracted insurance carrier. You will not be billed while the claim is processing with your insurance carrier. Upon receipt of their payment or denial, we will bill you for co-insurance, deductibles and non-covered services.
Medi-Cal/CalOPTIMA
With verified eligibility and receipt of any monthly share of the cost, we will bill MediCal/CalOPTIMA for authorized services.
Group/Indemnity
Group and indemnity insurance will be billed for charges incurred. Will notify you of your account balance status approximately 30 days following our date of billing. You will receive periodic statements advising you of the balance due.
Cash
Those patients with no insurance coverage will be expected to make payment at the time services are rendered.
Balance Billing-Patient Responsibilty
If you are unable to pay for your portion of your bill in full, please contact us to arrange mutually acceptable payment options.
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