Step 3: The Provider Visit

Arrive at least 15 minutes prior to your appointment time. When visiting a doctor for the first time, you will be asked to complete a registration form; standard information is asked in this form: demographics, insurance information, present or past medical conditions including medications you may be taking, emergency contacts and person financially responsible for payment (in the USA, any expense incurred not covered by your insurance company are ultimately the members responsibility). Provider’s offices will also ask you to sign a release of protected health information, this signed release will allow your physician to provide medical information to your insurance for pre-authorization and claim processing purposes.

If while at the doctors office you are told that they do not accept or do not recognize your insurance and you are told that you must pay for the visit; ask them to contact the toll free number on the back of the card for eligibility and benefit verification. If the doctor’s office refuses to contact us, we ask that you contact us and we will gladly speak with the provider and make every effort to have them accept the “assignment of benefits” (have the doctor send the claim directly to us.)