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Through the years, we have encountered several issues related to insurance participation and patients disappointment. These items are as disappointing to us as they are to our patients. Our office has a very strict policy on insurance participation and non participation. This policy is applied to all our population. To avoid uncomfortable scenes at the time of service, our staff tries its best to review eligibility, benefits and network status for all patients in the schedule. This we try to do at least 2 days in advance. Doing it with any further advance is detrimental since the schedule changes and some insurance updates take place at the last minute. We strive to make the patient experience as painless as possible, but at times it doesn’t materialize.
At times we dont receive the correct or complete insurance information when the appointment is made. We are promised by the patient or whomever makes the appointment that they will call back to provide the insurance information. At times they do, but more ofthen than not, no one calls us back. Our staff will try to call most of our patients who are missing insurance information. Unfortunately, they will end up going into voicemail and as you can guess, no call backs in time for the appointment.
This type of situation is fairly common, but not the majority of our experience. However, it makes for a bad situation at the time of service. It also creates tension just before the appointment since at times this does not allow a patient with insurance conflicts to solve them. We stress the need to obtain insurance information when the appointment is made. We stress the need to have correct information at hand. There are always situations where that is not possible or our patients do not cooperate. This non cooperation is mostly caused by the patient not understanding what heir role is in this whole insurance setup business.
It is quite unfortunate and not worth the bad experience. Kindly have all your information handy when making your appointment and work with us if there are issues.