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FAQs for Billing

The billing cycle involves our team collecting an appropriate copay at the time of your visit and then creating and sending to our billing partner ALN a claim for the medical care we provide on a particular date of service, along with details of the insurance information you shared on registering with our practice.

ALN uses advanced billing software to submit the claims electronically to your insurance company, and watches for a determination for each claim, or responds to any requests for further information your insurance company sends them.

The determination or explanation of benefits ALN receives from your insurance company details the insurance payment to our practice and the amount that your insurance has assigned to patient responsibility/patient balance/deductible.

To get any further information on patient balances, insurance determinations, or payment options, patients should contact our billing partner ALN.

How to contact our billing partner, ALN

CALL 866-693-2699 

Our billing partner ALN has access to each insurance claim sent to your insurance for care, and the explanation of benefits corresponding to that claim which details coverage determinations your insurance company made and shared with ALN.

ALN’s patient support representatives are available for assistance from 9 am to 7 pm, and they are proficient in both English and Spanish.and can provide you with a detailed breakdown of charges.

If they are unable to answer, leave a detailed voice message and expect a callback from ALN within 48 hours.

How to contact your Bethany Medical Clinic care team:

For the most efficient response and support, securely text us at: 620 337 2636.

Alternatively call us at this number: 315 201 0621

What is mental health screening/code 96127?

Because we are a comprehensive primary care and preventative care team, we believe in screening for common problems. Along with the COVID-19 pandemic came a sharp spike in the rates of debilitating mental health concerns including anxiety and depression. We screen for these common conditions using standardized tools (the GAD and PHQ) to objectively assess symptoms and determine severity. We repeat the assessment serially to fully understand improvement or worsening in anxiety or depression to optimize our recommendations and treatments for each.

What is chronic care management?

We’ve heard the concerns and complaints in getting reliable and efficient support from our teams when our patients are not in the office. Patients who have 2 or more chronic conditions of any nature need the most support from making sure they are able to fill their needed prescriptions to coordinating care with other specialists outside our practice and facilitating follow up questions with their Bethany provider. We are able to offer this and insurance approves and covers the additional 20+ minutes care time needed with our team members between visits for a simple claim billed monthly. We bill and collect this low monthly payment and use it to staff our clinics with energetic chronic care coordinators who will help support any need you have between visits. You can avoid the infuriating delays, confusing circles, and incomplete communication that so often plagues insurance-based healthcare in the US. Our chronic care coordinators will make your healthcare experience with us as painless as possible.

How can I update my billing information?

To update your information for future care: please contact our Bethany Medical team at 315 201 0621 to update the billing information you have on file with us. You can also securely message this information to our team on the Quadrant app or by texting to the Quadrant Bethany phone number. 

If you want to update billing information to re-submit a claim for past care, contact our billing partner, ALN to update your information with them.

What is an EOB?

An EOB, or Explanation of Benefits, is a document from your insurance company explaining how they handled your healthcare claim, including services, billed amount, what’s covered, and any remaining balance.

Why do I have a bill, even if I have insurance?

There are several reasons why you may still receive a bill even if you have insurance:

Deductible: If you haven’t met your annual deductible, you may be responsible for a certain amount of healthcare costs before your insurance coverage kicks in.

Co-insurance: Even after your deductible is met, you may still be responsible for a percentage of the healthcare costs, known as co-insurance.

Non-covered services: Some services may not be covered by your insurance plan, and you will be responsible for paying the full amount for those services.

Out-of-network providers: If you receive care from a healthcare provider that is not in your insurance network, you may have to pay a higher percentage of the costs.

What is a deductible?

A deductible is what you pay out of pocket for covered healthcare before insurance kicks in. For instance, with a $1,000 deductible, you pay the first $1,000. After that, insurance covers costs as per your plan’s terms.

What happens if my insurance claim is denied?

If your insurance claim is denied, our billing partner will work with you to appeal the decision or explore alternative solutions. ALN is here to assist in resolving any issues.

Can I make a payment over the phone?

Yes, payments can be made over the phone.

How does the billing process work?

After your visit, we submit a claim to your insurance company. Once they process the claim, you will receive a statement from us outlining any remaining balance. Payment can be made online, by phone, or in person.

What is the policy for copayments and deductibles?

Copayments are typically due at the time of service. Our staff will verify your insurance benefits and inform you of any expected out-of-pocket costs. Patient deductibles are determined by your insurance company based on the specifics of your insurance plan when they are reviewing a claim for care that has already been given. Your insurance company communicates to our billing company ALN what they approve to be paid for the care you have received, and the breakdown of how much the insurance company is contracted to pay for that care directly, and the balance that they apply to patient deductible which is subsequently owed by the patient. 

What financial assistance options are available?

To assist with managing costs, we offer flexible payment plans tailored to individual needs.

What forms of payment do you accept?

We accept various forms of payment to accommodate our patients’ needs, including major credit cards, debit cards, cash, and checks.

How can I set up a payment plan?

To set up a payment plan, please contact our billing partner ALN. They will assist you in arranging a suitable payment schedule tailored to your needs. for each.

Can I set up automatic payments?

We offer the convenience of automatic payments for your peace of mind. Once you provide your preferred payment method, we can securely process your payments automatically for services rendered, ensuring seamless transactions. This eliminates the time spent on manual payments and the risk of an accidental oversight in paying a copay or deductible and the consequent negative impact on your personal credit.

How can I dispute a billing error?

If you believe there is a billing error, please contact our billing partner, ALN

Is telemedicine covered by insurance?

Yes, telemedicine coverage varies depending on your insurance plan. However, it’s essential to check with your insurance provider to understand the specifics of your coverage, including any copays or limitations that may apply.

What insurance plans do you accept?

Our practice works with all major insurance providers, as well as Medicare and FidelisMedicaid. We accept almost all insurances. However, coverage may vary depending on individual plans, so we recommend contacting our office or your insurance provider directly to confirm your specific coverage details.

Bethany Medical Clinic- Dr. Shirin Peters