Billing Your Insurance

Insurance frequently forces you to jump through hoops for reimbursement. As part of our service to our patients, we've put together a tutorial that may save you a major headache during this process.

Applying for reimbursement is straight-forward.  You must submit two forms to the insurance company:

  1. The Insurance Invoice from DocTalker Family Medicine, P.C. This form says “Paid in full" in red letters and has Diagnostic ICD-9 codes and CPT billing codes. After paying for service, you may either collect this Insurance Invoice in person or DocTalker will email or mail it to you. 
  2. An insurance claim form that can be downloaded from your insurance company's web site.  For your convenience, we've posted links to the forms and a majority of the insurance companies on our Insurance Forms page. If you are unable to find a claim form for some reason, a more complicated but universally accepted claim form, " HICFA 1500,”  can be downloaded and submitted instead. It takes several minutes to fill out the claim form.
Mail the Insurance Invoice and completed claim form to the designated address on the claim form or on your insurance card.

Word of Caution

Keeping your information confidential might be important to you. Remember that every time you use your insurance company for payment, they systematically collect the diagnostic codes and any medicine you are obtaining (assuming the insurance company is helping pay for them).  Although this is a rare event, they also have the right to withhold payment until they audit your medical note.  At DocTalker, we never release medical notes to insurance companies without your verbal, and in some cases, written consent. Our policy is that you paid us for the care and therefore the information regarding the service or visit belongs to you.

Insurance companies create a health information database like a “credit report” on any services they are helping you pay for.  This information can be used in the future to stratify your risks should you ever be looking to apply for health insurance in the future.  Claims adjusters have access to this file when they are trying to decide if you merit getting insurance.


 

370 Maple Ave W, Suite V   |   Vienna, VA 22180   |   P: 703-938-4604   |   F: 703-938-4618   |   info@doctokr.com

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