Billing & Insurance
The billing and insurance process is complex but not nearly as complicated as you may think. Adult Pediatric Urology & Urogynecology has taken the time to answer some of the most frequently asked questions. If you require additional information, it is recommended you call our office directly at 402-397-7989.
We will file your health insurance, provided we are given the correct and complete information. It is your responsibility to follow up with your insurance company after the claim has been filed. Remember the insurance coverage is a contract between you and your insurance company.
Your insurance policy defines the benefits of coverage you are entitled to under your policy. While each plan is different your plan may cover all or some of the cost of your treatment or services, less any deductible, and co-insurance amounts which are your responsibility. Your plan may not cover certain drugs, routine labs, or other services they deem as a non-covered benefit. If you have any questions, please contact your insurance company.
There may be certain lab tests that are necessary in your treatment or care that we aren't able to perform in our lab. In those cases, lab tests are sent out to Physicians Laboratory.
It's the amount the covered person must pay each calendar year for covered services before benefits are payable by the insurance company.
It's a fixed dollar amount that your insurance company requires that you pay at the time the services are provided. Co-pays often are applied to office visits, but can be applied differently depending on your insurance.
It's the percentage amount—determined by an insurance company—that a covered person must pay for covered services.
If your balance is in an aging process and you are making monthly payments, you can only see the balance forward. If you have questions, please feel free to call and verify that your payment has been received and credited to your account. We are happy to help!
Sometimes insurance companies change addresses. Other times the in-network claims processor changes but not the actual insurance company. It is important for our billing department to ensure that claims are sent to the right place.
We will also ask you if your employer has changed or if you have retired so that we have the newest card on file. Details on insurance cards are very important to correctly filing your claim.
This is the paper that is mailed to you and also to us that helps explain how your claim was paid. It will tell us if you have deductible to pay, if there is a co-insurance amount due, or what your responsibility will be. You should get a copy of the same thing that is mailed to us.
Yes, we will contact your insurance company and notify them of your surgery and we will check your benefits. You will be contacted by our billing department prior to your procedure to provide the estimated out-of-pocket costs associated with the procedure.
Our office policy requires the patient to come in for a consultation with the physician first, that is the initial fee involved. After your consultation, our billing department will provide you with a cost estimate of the surgery. The vasectomy is performed in our outpatient surgical center, so there are charges for both the physician and the outpatient facility. If you would like a quote, please contact us.
Our current system applies the preloaded messages regardless of your payments. If necessary, you must contact our office and make payment arrangements; otherwise payment is due 30 days from your statement date.
There are 15 different levels of visits depending on many factors, so determining this prior to your visit would be difficult. For this reason, we do not quote office visits. If you have any further questions regarding billing, we are happy to assist you.