Clinic.Pittsburgh Gastroenterology Associates.

Billing

Our physicians participate with Medicare, Highmark products (including Keystone, Select, Community and Security Blue), Health America, Aetna, CIGNA and most other major insurance carriers. Some insurance plans have developed that is referred to as a “narrow network” which limits your choice of physician and facility. PLEASE CONTACT YOUR INSURANCE CARRIER TO VERIFY OUR PHYSICIAN’S AND SOUTH HILLS ENDOCSOPY CENTER’S PARTICIPATION IN YOUR SPECIFIC INSURANCE PLAN.

Please bring your Photo ID and insurance cards with you for your appointment. Please read our new payment policy effective January 1, 2014 under the Patient Info tab on our website (PDF format).

We will accept the allowed reimbursement by insurance companies with which we participate, as payment in full. However, you will be responsible for payment of deductibles, co-insurance, co-payments and non-covered services, as directed by your insurance company policy. Please call our billing staff with any questions.

If you carry a secondary insurance, which may pay for deductibles or co-insurance payments, please provide our office with complete billing information, and we will be happy to submit the balance on your behalf.

If your insurance policy does not cover office visits, or if your plan requires a co-payment, or deductible, payment will be expected on the day of your visit. We accept cash, check, Mastercard, Visa or Discover. We will provide you with a receipt or an itemized statement.

If you participate in a managed care plan, it is your responsibility to obtain the proper pre-certification according to your insurance contract. Our office will need the referral from your primary care physician prior to your being seen. If you do not obtain a referral and still choose to be seen, you will be responsible for payment of that service. Please contact our office if you have any questions or if we can be of any assistance in this regard.

You will only receive a billing statement from our office when you have a personal balance or if you have an insurance balance which has become past due. We allow a reasonable amount of time for the insurance companies to remit payment, but if your claim is over 60 days old, we may ask your assistance in obtaining payment. Personal balances are expected to be paid in full within 30 days of your receiving the bill. If this presents a financial hardship, we encourage you to discuss your situation with our billing staff who will be happy to set up a payment plan.

Please keep our staff notified of any changes in your address, telephone number, as well of insurance information. This is important both for medical follow-up and billing purposes.

Our billing staff is available Monday through Friday, from 8:30 AM until 4:00 PM to answer your questions. Please contact the billing staff at (412) 232-8104.

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