ConfidentialityAll communications here are kept private, confidential, and privileged (i.e., if someone calls here asking for you or about your child, our staff will not acknowledge even knowing you unless you tell us otherwise). All information is confidential unless you specifically sign a release of information authorizing us to talk to someone or if concerns about safety require us to disclose information. It is very important to us to maintain the privacy of your confidential communication.
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Insurance Usage and Issues of Confidentiality
If you want our billing office to file your insurance claims, we will share some of your private information with your insurance provider. Our billing office handles all claims, statements and information on your account until your account balance is zero. The following information will be shared with the insurance company: dates you/your child are seen, the kind of service provided, the diagnosis and your private health information with carrier information.
As you know the world of health care has experienced a tremendous change in the manner in which insurance companies reimburse for third party payment. Many plans require an initial pre-certification of care before you can use your insurance benefits. It is your responsibility to make sure such pre-certification requirements are met by you if you elect to use your insurance benefits (i.e., referral from your primary care medical doctor, employee assistance program, and other “gate keeping” mechanisms such as calling an 800 number for approval). Nearly all insurance companies, unless your care is very brief, will require participation in utilization review.
We will be giving your carrier only the information that is needed to certify additional care as needed and only information that they require to deem your care medically necessary.
As you know the world of health care has experienced a tremendous change in the manner in which insurance companies reimburse for third party payment. Many plans require an initial pre-certification of care before you can use your insurance benefits. It is your responsibility to make sure such pre-certification requirements are met by you if you elect to use your insurance benefits (i.e., referral from your primary care medical doctor, employee assistance program, and other “gate keeping” mechanisms such as calling an 800 number for approval). Nearly all insurance companies, unless your care is very brief, will require participation in utilization review.
We will be giving your carrier only the information that is needed to certify additional care as needed and only information that they require to deem your care medically necessary.