Humboldt Neurological Medical Group
Paying for Your Services
As a courtesy, we bill all insurance plans. Please bring your insurance cards with you at the time of
your appointment. Please identify your situation below and be prepared to make payment as
necessary.
We are participating providers with the following insurance plans: Anthem Saver HMO
(California Care), Blue Shield HMO and all other plans administered by the Humboldt-Del
Norte Foundation for Medical Care, Triwest/Tricare, Medi-Cal (with the exception of an
out of the area PHP Medi-Cal), CMSP (Humboldt and Del Norte counties only) traditional
Medicare, Veteran’s Administration, California Children’s Service (CCS), and some
Workman’s Compensation. If you are covered by any of these plans, please check your
benefits to determine if prior authorization is required for our services. Please note that all
required copayments are due upon check-in at the time of your appointment.
Healthy Families: As of 9-1-09, we are no longer a provider of Healthy Families. Referrals are
accepted on a case by case basis only. Prior authorization is required.
Private Fee for Service Medicare (PFFS Medicare): Please contact our office prior to your
appointment to inquire if we accept your plan. Some examples of PFFS Medicare are Blue Cross
Freedom Blue, Secure Horizons, Health Net Pearl Option, Humana, WellCare and Today’s
Options.
Blue Cross and Blue Shield PPO patients: We are not participating providers for Blue Cross
or Blue Shield PPO plans. Please call the Customer Service telephone number on your insurance
card to request an “out of network referral” or “benefit level exception” due to geographic
limitations (we are the only neurologists within a 150 mile radius). If requested, our Tax ID number
is 94-2391415. By obtaining this referral prior to your appointment you will get the maximum
benefit from your insurance company.
Currently, we require a $100 deposit for all consultations and $200 deposit for EMG and/or
Nerve Conduction Studies, unless we are participating providers with your insurance plan.
Balances are due and payable within 30 days. Please contact our Billing Department at
(707) 443-9542 to make payment arrangements, if necessary.
Private Pay (no insurance coverage): Payment in full is required at the time of service.
As a courtesy, we bill all insurance plans. Please bring your insurance cards with you at the time of
your appointment. Please identify your situation below and be prepared to make payment as
necessary.
We are participating providers with the following insurance plans: Anthem Saver HMO
(California Care), Blue Shield HMO and all other plans administered by the Humboldt-Del
Norte Foundation for Medical Care, Triwest/Tricare, Medi-Cal (with the exception of an
out of the area PHP Medi-Cal), CMSP (Humboldt and Del Norte counties only) traditional
Medicare, Veteran’s Administration, California Children’s Service (CCS), and some
Workman’s Compensation. If you are covered by any of these plans, please check your
benefits to determine if prior authorization is required for our services. Please note that all
required copayments are due upon check-in at the time of your appointment.
Healthy Families: As of 9-1-09, we are no longer a provider of Healthy Families. Referrals are
accepted on a case by case basis only. Prior authorization is required.
Private Fee for Service Medicare (PFFS Medicare): Please contact our office prior to your
appointment to inquire if we accept your plan. Some examples of PFFS Medicare are Blue Cross
Freedom Blue, Secure Horizons, Health Net Pearl Option, Humana, WellCare and Today’s
Options.
Blue Cross and Blue Shield PPO patients: We are not participating providers for Blue Cross
or Blue Shield PPO plans. Please call the Customer Service telephone number on your insurance
card to request an “out of network referral” or “benefit level exception” due to geographic
limitations (we are the only neurologists within a 150 mile radius). If requested, our Tax ID number
is 94-2391415. By obtaining this referral prior to your appointment you will get the maximum
benefit from your insurance company.
Currently, we require a $100 deposit for all consultations and $200 deposit for EMG and/or
Nerve Conduction Studies, unless we are participating providers with your insurance plan.
Balances are due and payable within 30 days. Please contact our Billing Department at
(707) 443-9542 to make payment arrangements, if necessary.
Private Pay (no insurance coverage): Payment in full is required at the time of service.
| For your convenience, we accept cash, checks, Visa and Master Card. If you need to make special payment arrangements, please contact our billing department at 443-9542. Updated 11-16-09 |
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| Phone (707) 443-9385 2828 O'Neil Lane, Eureka, CA 95503 Fax (707) 443-0258 |
