Billing FAQ


IS THIS EQUIPMENT COVERED?

In general, yes. Our products are covered, although not always by every insurance plan. 


DO I CALL/REQUEST A PRIOR AUTHORIZATION?

No. We handle all prior authorizations for you. If your carrier denies the prior authorization, we will handle the appeal on your behalf. 


IS THERE A COPAYMENT?

This depends on your specific plan and whether we are a participating in-network provider with your insurance. Commercial insurance plans often require co-payment for Durable Medical Equipment (DME). Injured workers generally do not have a co-payment with Workers' Compensation. 


DO YOU HANDLE WORKERS COMP CASES?

Yes, we will work directly with adjusters and carriers.


ARE YOU IN-NETWORK WITH MY CARRIER? 

We are in-network with many private insurance carriers.


WHAT HAPPENS WHEN YOU ARE OUT-OF-NETWORK?

We request that the carrier provide a network exception such that our services will be covered at the network level. Carriers have a legal obligation to provide medically necessary care to you at the network benefit level. If the carrier cannot provide the same services we offer through another provider, they are required to work with us at the network level.


WILL I GET A BILL FROM MY CARRIER?

No. Your carrier will send you an Explanation of Benefits (EOB). This is not a bill. Your carrier will never collect payment from you for our products or services. It is our job to bill and collect from you any appropriate out-of-pocket amount.


WHAT IF MY CARRIER DENIES YOUR PRODUCTS OR SERVICES?

Some carriers may deny our services upon claim review. We appeal all denials. We have a self pay options. Please call for details: 203.204.2874.


HOW MUCH WILL I BE RESPONSIBLE FOR?

You are responsible for your obligation per your individual policy (co-insurance, deductible, etc.) or self-pay option.

 


HOW WILL I PAY YOU FOR MY PORTION OF THE CHARGES?

We will bill you for the correct amount after our claim is processed by the insurance carrier, except for self pay, which is paid up front. We accept checks, major credit cards or cash. If necessary, due to financial hardship, we will work out a payment plan with you.

 


I HAVE A CHECK. WHERE DO I SEND PAYMENT?

If you received a payment directly from your insurance carrier, sign the back of the check as you normally would and also write: 'Pay to the order of Associated Medical'. Mail the check with a copy of the EOB to:

 

ATTN: ACCOUNTS PAYABLE

ASSOCIATED MEDICAL

21 Business Park Drive

Branford, CT 06405

 


If your question isn't covered here please email 

billing@assocmed.com