We offer our patients comprehensive health care which limits the ability to work within the limitations of most contractual agreements for health insurance. Payment is required at the time of service. NIHA does not accept assignment or file or coordinate insurance reimbursements although we do provide information on the services rendered for you to submit.
You are responsible for filing your own claim and following up as needed. Please be advised, however, that many of the services provided are not covered by most insurance companies. Please contact your insurance company directly for information on your coverage. We are not providers for HMO insurance, Medicare, or Medicaid. The specific information below should assist you with filing for insurance reimbursement.
Our goal in Holistic Family Dentistry is to maximize your out-of-network dental benefits and minimize out-of-pocket expenses. As a courtesy, we will file your dental claim form to your insurance company to assist you in getting reimbursement, and provide a receipt for the services rendered. Payment is due at the time of service.
Effective July 1, 2016, we will be an out-of-network provider with ALL insurance companies.
What does this mean for you and your family?
We will ask you to pay for your dental services in full on the date of service, and we will file your dental claim on your behalf to maximize your reimbursement benefits and minimize out-of-pocket expenses.
Faster reimbursement for MetLife and Guardian Insurance
For all out-of-network patients with Metlife and Guardian dental insurances, we are able to expedite your dental claims through faster electronic methods and get your return of dental benefits back to you now in approximately 7 days.
Our goal is to provide you with the highest quality medical care and necessary information for maximizing your insurance benefits and minimizing your out-of-pocket expenses. You will receive a medical claim form that will include all information for you to file for insurance reimbursement, along with a receipt for services rendered. NIHA is an out-of-network provider only and does not participate with insurance companies or other provider networks.
Payment is due at the time of service unless other arrangements have been made in advance. We generally do not accept assignment of insurance payments.
Insurance claim forms and information are provided to patients at the time of visit for submission to your insurance company. While submission of claim forms is the patient's responsibility, you will receive at the time of check-out everything that you need to immediately file your claim.
NOT RECOGNIZED CARE
NIHA reserves the right in preparing claim submissions to include those procedural codes or other data that accurately reflect services, and to invoice non-covered services using internal descriptions without the use of procedural codes. Please understand that your insurance company may deny coverage because of differences between integrative and conventional medicine. Please contact your insurance company directly for information on your coverage. NIHA will make every effort to provide sufficient information to allow an insurer to determine what services it will reimburse, but it is not responsible for any insurance company decision.
Tracy Freeman, MD may provide limited primary care services as defined by mutual written agreement. Dr. Freeman is an out of network provider. You will receive a medical claim form that will include all information for you to file for insurance reimbursement, along with a receipt for services rendered.
Medicare will not cover any services or procedures performed at NIHA, as the doctors have opted out entirely of the Medicare program. Claims cannot be submitted to Medicare and patient is financially responsible for any services or procedures received. However, several of our medical doctors do provide Medicare patients a discount. Please ask for further information at the time you make your appointment. If a patient has secondary insurance, we will provide an opt-out letter to assist in getting coverage.
NIHA is a nonparticipating Tricare provider, and Tricare patients are responsible for payment of NIHA’s full fee schedule at time of service and will receive reimbursement directly from the Tricare carrier for the amounts payable under Tricare’s fee schedule. In order for NIHA to bill its service rates, Tricare patients must review and sign a Request for Non-Covered Services that will give advance notice of anticipated fees.
INSURANCE BILLING SERVICES
There are individuals and companies which, for a fee, can assist you with claims filing and reimbursement from insurance or flexible spending account administrators. A list of firms offering these services is available upon request.