Humboldt Neurological Medical Group
If you need to make special payment arrangements, please contact our billing department at 443-9542. Updated 4-7-2010 |
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| Phone (707) 443-9385 2828 O'Neil Lane, Eureka, CA 95503 Fax (707) 443-0258 |
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 and be prepared to make payment based on the following information.
We are participating providers with the following insurance plans: All plans administered by the
Humboldt-Del Norte Foundation for Medical Care, including Anthem (Blue Cross) HMO and
Blue Shield HMO, Triwest/Tricare, traditional Medicare, Veteran’s Administration, California
Children’s Services (CCS) as well as 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 co-payments are due upon check-in at the time of your
appointment.
Medi-Cal and CMSP. Medi-Cal and CMSP (Humboldt and Del Norte Counties only) patients are
seen by referral only. Out of area PHP Medi-Cal requires prior authorization for all services.
Patients with an unmet Share of Cost will be considered private pay and payment in full may be
required at the time of service depending on the unmet balance remaining. Any payments made will
be cleared from the Share of Cost for that month. We cannot bill Medi-Cal or CMSP without
current eligibility.
Private Health Insurance. We are not participating providers for Anthem Blue Cross PPO, Blue
Shield PPO and most other private health insurance plans. Please call the Customer Service
telephone number on your insurance card and inquire if they offer any type of benefit for non-
participating providers due to geographical limitations. We are the only neurologists within a 150 mile
radius. If requested by your insurance, our Tax ID number is 94-2391415. By obtaining this out of
network exemption prior to your appointment you will get the maximum benefit from your insurance
company.
Private Fee for Service Medicare (PFFS). Please contact our office prior to your appointment to
inquire if we accept your plan. Some examples of PFFS Medicare plans are Blue Cross Freedom
Blue, Secure Horizons, Health Net Pearl Option, and Humana.
Healthy Families. As of 9/1/09 we are no longer Healthy Families providers. Referrals are
accepted on a case-by-case basis only. Prior authorization is required.
Monthly payments are required on any unpaid balance. We currently require an initial payment
of $100 for all consultations and $200 for EMG and/or Nerve Conduction Testing unless we
are participating providers with your insurance. Should you receive payment directly from your
insurance company for our services that amount becomes due and payable at once. Payment
arrangements can be made for any balance not paid by your insurance.
Private Pay (no insurance coverage). Payment in full is required at the time of service.
For your convenience we accept cash, checks, Visa and Mastercard
As a courtesy we bill all insurance plans. Please bring your insurance cards with you at the time of
your appointment and be prepared to make payment based on the following information.
We are participating providers with the following insurance plans: All plans administered by the
Humboldt-Del Norte Foundation for Medical Care, including Anthem (Blue Cross) HMO and
Blue Shield HMO, Triwest/Tricare, traditional Medicare, Veteran’s Administration, California
Children’s Services (CCS) as well as 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 co-payments are due upon check-in at the time of your
appointment.
Medi-Cal and CMSP. Medi-Cal and CMSP (Humboldt and Del Norte Counties only) patients are
seen by referral only. Out of area PHP Medi-Cal requires prior authorization for all services.
Patients with an unmet Share of Cost will be considered private pay and payment in full may be
required at the time of service depending on the unmet balance remaining. Any payments made will
be cleared from the Share of Cost for that month. We cannot bill Medi-Cal or CMSP without
current eligibility.
Private Health Insurance. We are not participating providers for Anthem Blue Cross PPO, Blue
Shield PPO and most other private health insurance plans. Please call the Customer Service
telephone number on your insurance card and inquire if they offer any type of benefit for non-
participating providers due to geographical limitations. We are the only neurologists within a 150 mile
radius. If requested by your insurance, our Tax ID number is 94-2391415. By obtaining this out of
network exemption prior to your appointment you will get the maximum benefit from your insurance
company.
Private Fee for Service Medicare (PFFS). Please contact our office prior to your appointment to
inquire if we accept your plan. Some examples of PFFS Medicare plans are Blue Cross Freedom
Blue, Secure Horizons, Health Net Pearl Option, and Humana.
Healthy Families. As of 9/1/09 we are no longer Healthy Families providers. Referrals are
accepted on a case-by-case basis only. Prior authorization is required.
Monthly payments are required on any unpaid balance. We currently require an initial payment
of $100 for all consultations and $200 for EMG and/or Nerve Conduction Testing unless we
are participating providers with your insurance. Should you receive payment directly from your
insurance company for our services that amount becomes due and payable at once. Payment
arrangements can be made for any balance not paid by your insurance.
Private Pay (no insurance coverage). Payment in full is required at the time of service.
For your convenience we accept cash, checks, Visa and Mastercard