Insurance

We will attempt to verify eligibility and benefits with your insurance company; however, VERIFICATION OF SERVICES  IS NOT GUARANTEE OF PAYMENT.  We will submit claims to your insurance company for all  services rendered by our doctors.  Any expenses deemed not covered by your insurance company will be your financial responsibility.

PLEASE NOTE:  ALL HMO PLANS  FOR NEUROPSYCHOLOGICAL TESTING/EVALUATION  REQUIRE PRE AUTHORIZATION FROM YOUR DOCTOR.

All monies owed by you, i.e., CO-PAYMENT, CO-INSURANCE, DEDUCTIBLE OR NON COVERED SERVICES ARE DUE AT THE TIME OF SERVICE.

 Dr. Kalinian is in-network provider in the following plans:

AETNA- PPO

ANTHEM BLUE CROSS- PPO

CIGNA- PPO

GREATER NEWPORT PHYSICIANS (GNP) (ALL HMOs FOR NEUROPSYCHOLOGICAL TESTING REQUIRE PRE AUTHORIZATION  FROM THE MEDICAL GROUP)

MEDICARE

MEMORIAL CARE MEDICAL GROUP  (ALL HMOs FOR NEUROPSYCHOLOGICAL TESTING REQUIRE PRE AUTHORIZATION  FROM THE MEDICAL GROUP))

MISSION HERITAGE ST. JOSEPH HEALTH SYSTEMS (ALL HMOs FOR NEUROPSYCHOLOGICAL TESTING REQUIRE PRE AUTHORIZATION  FROM THE MEDICAL GROUP))

MISSION HOSPITAL AFFILIATED PHYSICIANS (MHAP) (ALL HMOs FOR NEUROPSYCHOLOGICAL TESTING REQUIRE PRE AUTHORIZATION  FROM THE MEDICAL GROUP))

UNITED HEALTH CARE/UNITED BEHAVIORAL HEALTH (UBH/UHC)-  PPO

We welcome you to call  your insurance plan for your benefits ask  the following questions for coverage with Dr. Haygoush Kalinian:

For Neuropsychological Testing: When calling your insurance plan, say ” I am going to see a specialist for a medical diagnosis, the specialist will use these procedure (CPT) codes 96116, 96121,  96132, 96133, 96136, 96137″ Ask the questions below

1. What is my remaining annual deductible?

2. What is my co-pay to see a specialist?

3. What is my co-insurance for each CPT listed above? (this is typically a percentage)?

4. Do I need precertification or pre-authorization for the CPTs listed above?  If you have a PPO/POS plan, you typically will not need a preauthorization, but ask just to confirm.

Please note:  All out of pocket costs (co-pay, deductible etc) are due during your 1st appointment.  We accept cash, check, & credit card (MC/Visa)

•For billing questions:

If you have any questions/concerns about your bill, please call Eric  at  949-481-8414 ext 1

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