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Billing and Insurance
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You will find more about billing, billing for tests, insurance plans, Medicare coverage, ABN waivers and co-pay information.
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Co-Pay Insurance co-payments and deductibles are due at the time of service. If
we do not have a contracted arrangeement with your insurance plan, you will
be expected to pay in full at the time of service. Billing Our billing department will gladly file your claims with your
insurance carrier. If payment has not been received within 45 days of filing,
you will be notified and asked to contact your insurance company.
Billing for Tests Labs and other tests performed
outside our clinic will be billed by the entity performing the test.
Medicare Coverage We do accept assignment for and file
Medicare for our patients.
ABN Waivers Some tests deemed necessary for your care may
not be covered by Medicare. If this is the case, you will be informed of the
test and the reasons for performing it. You will then be asked to sign an ABN
waiver stating the possibility of non-coverage was explained and that you may be
billed for the tests.
Insurance Plans We accept assignment for most
major insurance plans. Please contact your insurance carrier to
confirm that University Family Physicians is a provider.
Health Maintenance Organizations (HMO)
- Aetna HMO
- Aetna Open Access HMO
- Aetna Select
- Open Access Aetna Select
- Aetna US Access
- BlueCross BlueShield of North Carolina (NC Practices Only)
- CIGNA HealthCare of North Carolina (formerly HealthSource)
- Great West (One Health Plan)
- PARTNERS Medicare Choice
- Secure Horizons Medicare Complete (formerly United HealthCare Medicare
Complete)
- United Healthcare of North Carolina
- United Healthcare of North Carolina Medicare Complete
- United Healthcare of North Carolina Evercare
- WellPath HMO/Coventry
- WellPath Direct Access HMO/Coventry
- WellPath Connect
Point of Service Plans (POS)
- Aetna Quality Point of Service
- Aetna Point of Service
- Aetna Point of Service II
- BlueCross BlueShield of North Carolina (NC Practices Only)
- BlueCross BlueShield of South Carolina (SC Practices Only)
- CIGNA HealthCare FLEX
- CIGNA HealthCare Administrator (formerly HealthSource)
- CIGNA Healthpartners Open Access
- CIGNA PPN/POS (formerly Provident Administrators, Inc.)
- Great West (One Health Plan)
- HUMANA National POS - Open Access
- Private Healthcare Systems, Inc. (PHCS)
- United Healthcare
- WellPath POS/Coventry
- WellPath Direct Access POS/Coventry
- WellPath Assurant Health (formerly Fortis Plus) (POS)
Preferred Provider Organizations (PPO\EPO)
- Aetna Afforable Health Choices (SRC)
- Aetna Elect Choice
- Aetna Open Access Elect Choice
- Aetna Managed Choice
- Aetna Open Access Managed Choice
- Aetna Open Choice (PPO)
- Aetna Healthfund
- BlueCross BlueShield of North Carolina (Preferred Care Select)
- BlueCross BlueShield of North Carolina (Blue Options)
- BlueCross BlueShield of South Carolina PPO
- CCN (formerly OneSource/Health Advantage, Medview)
- CIGNA HealthCare
- CIGNA PPN/PPO (formerly Provident Preferred Network)
- CIGNA PPA
- CIGNA PPA Plus
- CIGNA EPO
- CIGNA HealthPartners
- CIGNA Tyson
- First Health
- Great West (One Health Plan)
- HealthCare Savings (HCS)
- HealthCare Savings (formerly Physicians Care Network of SC)
- Health Dynamics
- HUMANA (ChoiceCare) Network
- Kanawha Benefit Solutions, Inc.
- MAMSI Life & Health Insurance Company
- MedCost
- Multiplan (formerly BCS Emergis)
- OneNet PPO (formerly Alliance PPO)
- PARTNERS Medicare PPO
- Premier Health System (South Carolina)
- Primary Physician Care
- Private Healthcare Systems, Inc. (PHCS)
- Provider Select
- SouthCare PPO (formerly ETHIX Southeast)
- United Healthcare
- USA Managed Care H&W - Health & Wellness PPO
- USA Managed Care - Genesis Behavioral Health PPO
Employer Business
- BlueCross BlueShield for NC Teachers and State Employees
- BlueCross BlueShield for SC Teachers and State Employees (SC Practices
Only)
- BlueCross BlueShield Smart Choice (PPO State Plan)
- BlueCross BlueShield Health Choice for Children
- HealthCare Solutions for Pepsi Cola
- Tyson Preferred Network for Tyson Foods
Workers Compensation
Some workers compensation insurance carriers provide "designated"
physician and hospital networks for the treatment of work-related injuries. Your
Employer should let you know if these designated workers compensation networks
pertain to you.
Presbyterian Healthcare participates in a few of these networks
including:
- CCN
- CompCare Network (Key Risk Management Services)
- CorVel (CorCare)
Government Programs
- Carolina Access
- Carolina Access II (Mecklenburg & Union County Practices
Only)
- Medicare
- NC Medicaid
- Tricare Standard (formerly Champus)
- Tricare Reserve Select (TRS)
Medicare Private Fee for Service Plans
- Aetna Medicare PFFS
- HUMANA Gold Choice
- Instil Health
- Secure Horizons Medicare Direct
- Sterling Option
Managed Care Plans
- Aetna
- Aetna Behavioral Health (Psychiatric Providers Only)
- BlueCross BlueShield for NC Teachers and State Employees (NC Practices Only)
- BlueCross BlueShield for SC Teachers and State Employees (SC Practices Only)
- BlueCross BlueShield Health Choice for Children
- BlueCross BlueShield of North Carolina (NC Practices Only)
- BlueCross BlueShield of South Carolina
- Blue Choice of South Carolina (SC Practices Only)
- Blue Medicare (NC Practices Only)
- Carolina Behavioral Health Alliance (Psychiatric Providers Only)
- Carolina Care Plan of South Carolina (SC Practices Only)
- CIGNA Behavioral Health (Psychiatric Providers Only)
- CIGNA Healthcare of NC, Inc.
- First Health (also known as CCN)
- Great West
- HUMANA
- Inclusive Health Provider Network (NC Health Risk Pool)
- Kanawha Benefit Solutions, Inc.
- Magellan Behavioral Health (Psychiatric Providers Only)
- MAMSI Life and Health Insurance Company
- MedCost (formerly Healthcare Savings)
- Multiplan, Inc.
- OneNet PPO (formerly Alliance PPO)
- PHCS
- Premier Health System
- Primary Physician Care
- Private Healthcare Systems, Inc.
- Provider Select, Inc.
- SC State Health Plan (SC Practices Only)
- Southcare PPO (formerly Ethix Southeast)
- Tyson Preferred Network for Tyson Foods
- United Healthcare of NC, Inc.
- USA Managed Care
- WellPath (also known as Coventry)
Workers Compensation
Novant Medical Group urgent care locations accept almost all workers compensation insurance carriers, and will bill your employer's carrier after treatment of your on-the-job injury.
Some workers compensation insurance carriers provider "designated" physician and hospital networks for the treatment of work-related injuries. Your Employer should let you know if these designated workers compensation networks pertain to you.
Government Programs
- Carolina Access
- Carolina Access II
- Medicare
- NC Medicaid (NC Practices Only)
- SC Medicaid
- Railroad Medicare
- Tricare Reserve Select (TRS)
- Tricare Standard (formerly Champus)
Medicare Plans
- Medicare Private Fee for Service Plans
- Blue Medicare (HMO/PPO)(formerly Partners Medicare)
- Secure Horizons Medicare Complete (HMO/PPO)(formerly United HealthCare Medicare Complete)
Medicaid HMO Plans
Some of our South Carolina practices accept the following Medicaid HMO plans; please contact the practice to confirm your plan is accepted.
- Absolute Total Care (formerly Total Carolina Care and Amerigroup)
- Carolina Cresent
- Select Health - First Choice
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