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 REFERRALS & BILLING

How we work with you to file Insurance Claims...
For patients who have insurance coverage and a valid insurance card, we will submit claims to the insurer requesting reimbursement for services rendered. Our office submits both electronic and paper claims. Patients will be responsible for any balance unpaid by their insurer.

How to obtain an Insurance Referral...
A direct line, (540) 341-1724, is for our insurance referral staff. If you are unable to speak with someone at the time of your call, please leave a message with your request. Before a referral can be completed, the patient must be seen and evaluated by one of our providers. This provider will give you a referral request slip that details the information you need to expedite this process. Please allow three full business days to complete your referral. Because we do not fax referrals, please be sure to pick-up your referral prior to your specialist appointment.

Billing Pratices...
If you have questions, wish to set up a payment plan, or apply for financial hardship; please call our billing staff at 540-341-1711, Monday through Friday.

Who to Contact for Billing Related Questions...
Talk to a Billing Representative: (540) 341-1711
Talk to a Insurance Referral Specialist: (540) 341-1724



Participating Insurance Providers...
Aetna US Healthcare
(non-HMO Products) PPO, MC, EPO, Prudential plans.
www.aetnaushc.com

MAMSI
(Alliance PPO, MDIPA Preferred (POS), MDIPA HMO, Optimum Choice Preferred (POS), Optimum Choice HMO, MAMSI Life & Health (Indemnity))
www.mamsi.com

CareFirst
(BlueChoice/PreferredChoice)
www.carefirst.com

Medicare
(Trailblazer)(note: We are not accepting new Medicare patients. We are only excepting patients we have seen under Medicare before.)
Medicare

Anthem Blue Cross/Blue Shield
(HealthKeepers HMO, PPO-Key Advantage,
Cost Alliance, BC/BS Indemnity)
www.anthem.com

NCPPO
(PPO)
www.ncppo.com

Blue Cross Blue Shield Federal Employees
Program Benefits
www.fepblue.org

One Health
(PPO/POS)
www.onehealth.com

Cigna Healthcare of Mid-Atlantic
(All Products)
www.cigna.com

United Healthcare
(All Products)
www.unitedhealthcare.com

First Health
(PPO, Mailhandlers)
www.humana.com

Private Healthcare Systems - PHCS
(Fortis, Guardian) Effective 10/01/01
www.phcs.com

Humana
(PPO)
www.humana.com

Medicaid
(note: We are not accepting new Medicaid patients. We are only excepting patients we have seen under medicaid before.)




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