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What our Business Office does for you! by Robyn Fugett

July 31st, 2018 | Patient Centered Medical Home Blog

What our Business Office does for you!

The Grants Pass Business Office has hard working and experienced people working behind the scenes to help you understand your benefits and to make sure your insurance is paying according to your health plan benefits.   Health insurance can be very confusing with deductibles, co pays, out of pocket limits and a myriad of other details.  Our Business Office staff follows your insurance claims from start to finish.  We start out by reviewing the charges for your visit and verify that all the information your insurance company needs to process your claim is in the right place.  We follow up with an additional review before sending the claim to your insurance carrier. Since insurance carriers vary in the ways they want claims to be submitted, this task can be time consuming, but we take the time that is needed in order to make sure that claims are sent correctly the first time. The majority of claims are sent to the insurance companies electronically, which speeds up the processing and payment.  Once a claim is submitted to the carrier, the process of following it up begins with reviewing patient accounts on a daily basis for payment or follow up requests.  When the payment arrives, we once again review it to make sure the benefits were processed and applied correctly. A billing statement is sent to you if there is a balance remaining after the insurance payment has been posted to your account. This process is just one of the many ways we serve our patients.

If you ever have questions about your statement or how your insurance carrier processed your claim, we are available to assist you by phone or in person Monday – Friday from 8 AM to 5 PM.  You will find our staff to be very knowledgeable and will explain things in a way you can easily understand.  Here at Grants Pass Clinic, we are all family – patients and staff alike – and we try our very best to make your experience with us positive and rewarding.