med fusion participates in most insurance plans. We will bill your insurance company for the test as the provider of service. Typically, it takes 60 days or more for the insurance company to respond. During this time you may receive and Explanation of Benefits.
We accept checks and all major credit cards. You can pay online at Pay Your Bill Online.
If Medicare does not pay for the test or service that was listed on the ABN, the patient bay be responsible for payment. Medicare does not pay for everything, even if the ordering physician feels the tests or services have clinical value and are medically necessary. The majority of testing performed by med fusion is covered by Medicare, but if a doctor requests testing that MAY NOT BE covered by Medicare med fusion is obligated to and will inform the physician and patient. If you are asked to sign an ABN there are three options available (as shown on the ABN).
The EOB is not a bill; it is a summary of the services that have been provided. An EOB does not require payment even if there is an “Amount Due” indicated. Every time we bill your insurance provider and they process the claim, the insurer may send you and EOB that shows what portion of the claim the insurer plans to pay.
The EOB may show that med fusion is an “out of network” provider. We are actively seeking to participate with all insurance providers. If you receive a bill that has been processed as out of network, please contact our Billing Customer Service.
med fusion will bill your insurance company directly as an independent service provider. We then receive payments and/or information from your insurance company about the claim submitted. Depending on the terms of your health care plan, you may have financial responsibility and we are required to bill you any applicable co-pays, co-insurance, deductibles or other amounts as indicated by your insurance plan or any state/federal regulations. Payment plans are available through our Customer Service Team and assistance may be available based on your financial situation.
You may also receive correspondence from med fusion in the information provided was incomplete or inaccurate, or if your insurer does not respond in a timely manner to a claim we have submitted. Please contact us to verify and update correct information and we will resubmit the claim to your insurer.
med fusion will file all secondary, or supplemental, insurance claims. If you received a bill from med fusion and believe that a secondary claim has not been filed, contact our Customer Service Team to verify the claim submission.
If your insurance company denies coverage, med fusion works on your behalf to attempt to obtain coverage and will assist in pursuing appeals on your behalf to minimize the financial burden when appropriate. We may also contact you or your physician for assistance in the appeals process.
Usually it takes 60 days or more for insurance companies to respond to claims. Sometimes the insurer’s response is that more information is needed for them to process the claim. The billing cycle will then restart and may repeat itself several times.
Payment plans may be available to you at no cost through our Customer Service Team. We also offer prompt pay discounts. If you cannot afford the applicable out-of-pocket cost you may be eligible for assistance based on your financial situation. Please contact our Customer Service Team with regards to eligibility, to set up a payment plan, or to receive your prompt pay discount.
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