Insurance and Billing

Insurance and Billing

We are pleased to participate in most Medicare and managed care plans, in addition to workers’ compensation, no fault and other insurance providers.

Prior to your admission, patient insurance benefits will be verified based on the insurance information provided. We will secure any prior authorization that your insurance company might require prior to your admission to Allegiant.

We will file claims with your insurance company on your behalf. In order for us to do this we must have on file a copy of the front and back of the patent’s insurance card. Prior to, or on the day of admission, patient’s insurance cards need to be copied and provided to our business office for proper billing. While we will bill the insurance directly, patients are ultimately responsible for payment of the bill.

LIST OF INSURANCES WE ACCEPT

Aetna, AHCCCS, ALTCS, APIPA (UHC), Arizona Priority Care, Banner, BCBS, Care First/One Care, Cigna, Health Choice, HealthNet, Humana, Indian Health Services, Lifeprint, Medicare, Mercy Care, Mercy Maricopa Integrated Care, Optum, Pacificare/Secure Horizons.

PRIMARY AND SECONDARY INSURANCE BILLINGS

Complete and accurate primary and secondary insurance information is necessary. We will submit bills to the insurance company and will do everything possible to get the patient’s claim paid. It may be necessary for the patient or responsible family member to contact the insurance company to assist in expediting the claim payment.

BILLING AFTER INSURANCE PAYMENT HAS BEEN MADE

After the insurance company has paid its portion of your hospital bill, we will provide a statement of account. This statement indicates the amount that has been paid and any balance required to pay. Balances are to be paid within 30 days.

SEPARATE BILLINGS

Bills for professional services provided by doctors for managing and treatment of the patient may be additional from pathologists, radiologists, cardiologists and so on. Their claims submissions are separate from allegiant’s billing.

TIMELY BILLINGS AND ACCOUNTING

Patient billings are not sent until after the patient’s Health Insurance Company has paid or denied the claim related to care. If insurance information was provided when patient was registered at Allegiant Healthcare at the time of admission, the first bill you received will indicate what the insurance paid and what the balance is after all insurance payments.