Can I add or change the insurance on my account?
Yes, with the exception of a managed care plan that required you to see a different primary care provider. Evergreen Medical Group only bills a managed care plan retroactively if the patient signs a statement that he/she will be responsible for any billed amounts denied by the plan.
How do I request a change of address?
You can call Patient Financial Services at 425.899.3292 to request the change.
Should I bring my insurance card with me to the doctor’s office?
Yes. The information on your insurance card is needed to file a claim with your insurance company or companies. When you register you will be asked for information about your insurance coverage. Additionally, you will be asked to sign related forms. The registration process goes faster when you bring your insurance information with you. Policy Holder name, date of birth and policy number are required elements.
Will Evergreen file my insurance claim for my current visit?
Yes. Evergreen will continue to submit claims to your insurance company for you. As insurance companies require more information, however, the accuracy of your records is extremely important. Patient Financial Services will facilitate prompt and accurate submission of your health insurance claim.
My claim was denied. Can I request that Evergreen resubmit my claim information to my insurance company?
In some special circumstances rebilling may be warranted. Contact a Patient Financial Services representative if you have questions regarding your bill.
My insurance hasn’t received my claim. Will you resubmit it for me?
Yes. Contact us (link to K. Contact Evergreen) to speak to a Patient Financial Services representative.
I'm covered under my wife’s insurance as well as my own. The deductible is less under my wife's insurance. Can Evergreen bill her insurance instead of mine?
Under a provision called coordination of benefits, Evergreen Healthcare is obligated to bill the insurance that would be considered primary for you. Any medical insurance for which you are the primary holder must be billed before any other medical insurance.
Even though I gave my medical insurance, I was later asked for my automobile insurance because my injury was due to an automobile accident. My medical insurance will cover the bill, why is any other insurance needed?
When we bill your medical insurance for treatment related to an accident, the carrier will want to know if there is any other insurance that may be liable for the bill and generally the hospital must bill the liability carrier first. For Medicare recipients, this is a requirement to bill Medicare and one of the reasons the Medicare secondary payer questionnaire must be completed. If Evergreen Healthcare cannot provide the information at the time of billing, the claim may be delayed, or even denied, until the information is given.
How do I follow-up with my insurance company?
Most insurance company identification cards include a customer service telephone number. Before you call, have available your insurance card, date of service, facility name, original billed amount, patient name and claim number if applicable. Write down the name of the person you talked to at the insurance company. If the bill has not been paid, find out when the anticipated payment date is, and ask what is needed. If the bill is not paid in the stated timeframe, follow-up with the insurance company again and, if necessary, request to speak to a supervisor.
Other key questions you should ask the insurance company customer service representative include the following:
- Have you received Evergreen Healthcare’s bill for these services?
- Am I covered for these services?
- When will you pay Evergreen Healthcare for these services?
- What portion of this bill will I be responsible for paying?
- What is the status of the account? If paid, ask when and to whom.
Find a link to your insurance company’s Web site on our Web Resources.
Why didn't my insurance cover some services?
Insurance policies vary on what services are allowed (paid). Your particular policy may not cover a certain service or you may not have met your policy's deductible and/or co-insurance. Increasing the diagnostic reason the service(s) are being provided are a determining factor. Contact your insurance company for further information.
How will I know if my insurance company has paid my bill?
At the time your insurance company pays your claim it will issue you an explanation of benefit notice regarding the payment action taken by the plan. If there is a balance due from you after the insurance company has paid its portion, we will send you a statement. This statement should agree with the amount reported to you from your EOB(s) and any balance you are required to pay. This is your bill; you are required to pay this bill in full or to set up payment arrangements by contacting Patient Financial Services at 425.899.3292. Find a link to your insurance company’s Web site on our Web Resources page.
What do I do if I disagree with how much my insurance company has paid on my bill?
If you don’t understand what or why your insurance paid in the manner it did feel free to contact Patient Financial Services or contact your insurance carrier directly.