Billing and Insurance FAQs
Locally Owned Practice | New Patients Welcome | Two Convenient Locations
Patient Responsibilities
Patients are required to bring their insurance card for all insurance plans to each visit. Patients must notify The Women's Health Group P.A. staff if they have a health insurance plan that uses a preferred lab (Lab Card) so that we may correctly process each specimen.
Patients will receive a bill for all lab tests that were not run at The Women's Health Group P.A., regardless of where it was drawn. Patients are responsible for their bill. Please call our office if you have any questions.
We Bill Your Insurance
When you come to The Women's Health Group P.A., you can rest easy knowing we will bill your insurance for your medical costs. All you have to do is provide us with the proper information and we take care of the rest.
We seek to provide prompt, efficient service in processing your claim so we make every effort to answer your questions. Please keep in mind you should still determine your insurance company’s requirements and benefits, as well as obtain prior approval and/or referral.
Frequently Asked Questions (FAQs)
Q: Are your doctors contracted with my insurance?
A: We are contracted with and submit claims to many insurance companies. You should contact your insurance provider to verify your coverage and benefits prior to making an appointment with one of our providers. Some of the commonly held carriers we contract with are as follows: Blue Cross and Blue Shield, Tricare, Medicaid / KanCare, Medicare, Fiserv, United Health Care, Preferred Health Systems, Preferred Health Benefits, American Healthcare Alliance, Cigna and Aetna. Please note that contracting providers are subject to change without advance notice or cause.
Q: I received a bill from a laboratory other than The Women’s Health Group P.A.?
A: The Women’s Health Group P.A. has a convenient in-house laboratory where we conduct a wide variety of tests. In cases where our laboratory cannot conduct necessary testing, we refer specimens we’ve collected to a number of highly skilled outside laboratories. These laboratories’ requests for payment are completely independent of our office. Any questions regarding statements/invoices from an independent laboratory should be directed to the originator of the bill.
Q: What forms of payment do you accept?
A: The Women’s Health Group P.A. gladly accepts Cash, Check, Money Order, Visa, Discover or MasterCard.
Q: How quickly do you submit a claim after my visit, surgery or delivery?
A: We have a team of people devoted to billing out your services in an accurate and timely manner. Our goal is to file the claim within 24 to 72 hours of the date of service. There are, however, factors out of our control that may affect our ability to process these claims within our specified goal.
Q: I found out I am pregnant, but I am not covered by any insurance plan. Can I still be seen at your facility?
A: The Women’s Health Group P.A. provides excellent care no matter your insurance scenario. We encourage that you speak with the Riley County Health Department, as you may be eligible for coverage through KanCare or the Riley County Perinatal Coalition Grant. If you are approved, we will schedule your first appointment once we receive approval notification. If you continue without insurance coverage, a down payment of $1,000 will be due at your first appointment with our OB Coordinator. This amount goes towards the cost of your care and generally covers most of the routine labs taken at this first appointment. After this first appointment, our billing staff will assist you in setting up a mutually beneficial monthly payment plan.
Q: I received a letter from a collection agency regarding my account. How do I make a payment?
A: The Women’s Health Group P.A. does use a reputable agency to handle any accounts that have gone unpaid for a long period of time. We highly recommend contacting the agency to settle your account as soon as possible. You can reach the Midwest Service Bureau at
(800) 362-0272.
Q: How is pre-notification obtained before my scheduled surgery?
A: Once your surgery is scheduled, our office will contact your insurance company to notify them of your upcoming surgery. This notification is not a guarantee of payment or coverage. It is imperative that you contact your insurance company before surgery to verify coverage and benefits.
Q: Will my insurance company cover fertility services?
A: To determine specific benefits, it is always best to contact your insurance company directly.
Q: I am pregnant, and my insurance is changing. What happens to the billing of the global charge?
A: Please notify our Billing Office as soon as possible with any changes regarding your insurance plan. At every visit, please offer our front desk your current insurance information. Once your new insurance information is on file, we will then bill out any prenatal care you have received up to the termination date of your initial policy. After delivery, your remaining visits and services will be billed to your new plan.
Q: Since your facility is a “preferred” provider with my insurance plan, I assume that my lab charges will also be covered. Do you submit to other laboratories?
A: Our laboratory technicians make every effort to stay abreast of each insurance company’s requests with regard to processing laboratory claims. If you suspect that your insurance plan requires your labs to be processed through a specific facility, please alert your lab technician. If we are not informed in advance, our lab will most likely process your specimen in our on-site laboratory.
Q: My visits should be paid for by my insurance but I received a bill. Why?
A: Our billing team seeks to provide all of our patients with accurate care of their claims. In order to do this, it is vital that you provide us with current insurance information at every visit. If a decision has been made by your insurance, such as “non-covered service” or “pending information from insured,” we refer the balance to you. If The Women’s Health Group P.A. contracts with your insurance company, they have specific standards and procedures that we are required to follow regarding your claims. You may contact our Billing Office with any questions or concerns. Also, it is recommended to contact your carrier to inquire about any unresolved issues. Thank you for keeping us abreast of any changes in your personal and insurance data!