Blue Cross Blue Shield (BCBS)
Blue Cross Federal
Blue Cross MESSA
Blue Cross Trust
Blue Cross Out-of-State Plans
Blue Care Network
We can bill all Blue Cross Blue Shield plans. Most Blue Cross plans generally have deductibles and/or co-insurance; you (or a guarantor) will be responsible for these costs.
Most Blue Cross policies require you to have pre-certification approval for inpatient admissions.
Most Blue Cross Blue Shield plans will not cover drivers training and psychology services that are non-testing. One of our Patient Financial Services representatives can meet with you to discuss self-pay options and the Community Financial Aid (charity care) funding guidelines.
Clinic services are often not a covered benefit. You may be required to make payment prior to receiving clinic services.
Clinic and Outpatient
If you have Blue Cross Blue Shield Master Medical coverage, it will be your responsibility to bill Master Medical for the services you receive in the event of a denial from regular Blue Cross Blue Shield. It’s important for you to submit this claim form to Blue Cross Blue Shield Master Medical immediately and return the payment or responses to our office promptly.
Patient Financial Services allows 90 days for the Blue Cross Blue Shield Master Medical payment of response. Once that time has passed, you will be responsible for the full balance. The secondary insurance carrier cannot be billed until a Blue Cross Blue Shield Master Medical response is received.
Special circumstances apply for lymphedema and serial casting supplies; you’ll be informed of your responsibility for payment of items prior to registration and during registration.
The following outpatient services are not covered by most Blue Cross Blue Shield plans: drivers’ training, social services, recreational therapy and medical supplies. A Patient Financial Services representative will contact you prior to scheduling non-covered services to discuss self-pay options and our Community Financial Aid funding guidelines.