ATTENTION: It is recommended you call your insurance company to verify you have in-network benefits with our practice, as well as, find out if your insurance requires a referral in order to be seen by one of our providers. It is becoming more common for insurance companies to require a referral.
- It is the PATIENT’S responsibility to to find out if their insurance requires a referral
- If your insurance company DOES require a referral, it is YOUR responsibility to provide our office with the referral
- If your insurance company denies payment due to a referral not being obtained, the PATIENT is responsible for full payment of any charges incurred during their visit.
BILLING INQUIRIES: Louisville Orthopaedic Clinic works closely with an outside billing agency, Advantum Health, to ensure prompt and accurate claims processing. Any questions or concerns regarding billing should be directed to Advantum Health. To contact Advantum, please call 1-800-294-9333.
- Blue Cross Blue Shield
- Tricare for Life
- United Healthcare
- Caresource Just4ME
- Anthem Medicare Advantage
PLEASE NOTE: Above is a limited list of insurances we participate with. Most insurance companies have numerous plans under their umbrella for which you are responsible in calling to make sure we are in-network. Due to the number of plans and constant changes by insurance companies, we are unable to stay current with our in/out of network status or our participation with each and every plan.
*Important: Effective January 1, 2014
Due to drastic reductions to specialist reimbursements of below market rates, we will no longer participate in the following policies:
Anthem Senior Advantage
**Louisville Orthopaedic Clinic will continue to provide medical treatment and file your claims with the carrier. Patients will be responsible for the difference between the out of network benefit payment and the Medicare fee schedule. In most cases, this is a nominal amount.
Please contact your carrier regarding out of network benefits:
For questions regarding other insurance companies or claims, please contact the office.