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:
ANTHEM BLUE CROSS
CIGNA (after July)
GREATER NEWPORT PHYSICIANS (GNP) (ALL HMOs FOR NEUROPSYCHOLOGICAL TESTING REQUIRE PRE AUTHORIZATION FROM THE MEDICAL GROUP)
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))
OSCAR (ALL HMOs, REQUIRE PRE AUTHORIZATION)
UNITED HEALTH CARE/UNITED BEHAVIORAL HEALTH (UBH/UHC)
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