Insurance Information
Contracted Insurances
As a courtesy, Grants Pass Clinic bills almost all insurances for our patients, but please keep in mind that not all insurances are contracted with Grants Pass Clinic. The companies listed to the right have entered into agreements with the Grants Pass Clinic. This means we are on their list of participating providers for certain products or health plans that they offer. Grants Pass Clinic does not necessarily participate in all of the products they offer, so you will need to check with your insurance company's member benefits office to determine if we are covered as a participating provider for your specific benefits plan.
What if my insurance isn't contracted?
Many of our patients have coverage through companies with whom we do not have a contract. As a courtesy, we submit claim information to your insurance carrier for processing; however, you remain responsible for the payment for those services. We hold the insurance pending amounts in suspense to provide adequate time for processing by your health plan and then transfer any remaining portions over to your personal account after the insurance payments have been processed.
What if my insurance doesn't pay right away?
Our contracted insurances are required by Oregon law to pay all "clean" claims within thirty days. Unfortunately, there is no such requirement on non-contracted insurances. We bill these insurances for you as a courtesy, and will wait a reasonable amount of time for your insurance to settle the claim. Most insurances settle these claims in 30-60 days. In any event, if your insurance has not settled the claim within 90 days, the balance is then transferred to your personal account and is considered due and payable by you at that time.
How can I help speed up my insurance company's processing?
First, make sure we have complete and up to date billing information for you, including any employment or insurance coverage changes. If you have had any recent changes, please call our office and make sure we have the correct information for submitting bills to your insurance.
You can also help by communicating directly with your insurance company. Most insurance companies issue an Explanation of Benefits (EOB) within 30 days of receiving our bill. If you haven't received an EOB within that time frame, consider calling your insurance company's member services number and ask them about the status of your claim.
Promptly complete and return all forms to your insurance company when they request information. Insurance companies will hold payments if they are waiting for information from you. If your insurance has sent you a form requesting information such as other coverage or accident information, you need to promptly complete and return the form so they can continue processing your claim.
If you have any questions concerning our handling of insurance billings, please contact our Business Office at 476-6644.
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