Billing Questions

What are my payment options?

All standard forms of payment are accepted, including cash, check, and major credit cards. (Visa, MasterCard, Discover). To pay by credit card over the phone, please call our Billing team at 813-422-6316 or 813-961-2222 and ask for the billing department. You may also mail your payment to the payment address listed on the patient statement.

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Will I have to pay prior to receiving services?

Your insurance carrier requires that you pay any applicable copayments at the time of service.  This is a contractual requirement with your insurance plan.  Therefore, all patient copayments will be collected at the time of your appointment, during the check in process.  If your plan has an annual deductible that has not been satisfied, you will be asked to pay a portion of your deductible at your visit, during the check in process.  After the insurance has processed your claim, any remaining balance due will be billed to you.  We recommend that any patient balances be paid in full within 30 days of your claim being processed by your insurance carrier, to avoid any potential collection activities.  If you have concerns about your ability to pay for services received, please contact our Billing Team at 813-422-6316 as soon as possible.  Patient balances over 30 days old are considered past due.

Is Internal Medicine & Pediatrics of Tampa Bay “in-network” with my insurance carrier?

If you receive your health care services from a health provider that participates in your health plan, they are considered “in-network.” Health care providers who do not participate in your health plan may be referred to as “out-of-network.” You may have a higher co-insurance and/or co-pay for out-of-network services. In some cases, out-of-network services are denied totally.  Depending on your insurance carrier, Internal Medicine & Pediatrics of Tampa Bay may or may not be considered in-network with your Insurance plan. You are responsible for contacting your insurance plan to confirm Internal Medicine & Pediatrics of Tampa Bay is listed as an in network participating provider.

Why am I getting a bill? I have Insurance coverage.

You will receive a patient financial responsibility statement after your insurance carrier processes our bill.  The amount you are billed for is based on what your insurance company communicates to us on an explanation of benefits (EOB). The EOB details how your insurance company processed our bill and calculated your financial responsibility based on your individual insurance plan. If you believe your patient financial responsibility is not correct, please contact your insurance carrier directly.

Why did my insurance pay only a part of my bill?

Most insurance plans require that you pay a co-payment, coinsurance or deductible for your health care expenses. Contact your insurance company for specific information about your coverage and limitations.

Why am I being charged a co-payment for services during my annual wellness exam? My insurance plan doesn’t require a co-payment for annual preventative visits.

When you are scheduled for your annual preventative physical exam, most insurance carriers do not assess a co-payment. However, if the provider treats, manages or addresses any other health issues not covered under a preventative wellness exam; your insurance carrier may apply a co-payment, co-insurance or deductible to this part of the visit, which is significantly separate from your wellness visit.

The receptionist does not know at the time of check in what services will be provided during your scheduled wellness appointment, as this is between you and your provider.     If there is a co-payment, co-insurance or deductible required by your insurance plan once the claim has been processed by your insurance carrier, we will send you a bill.  If you have any questions regarding a bill of this type please contact your insurance company directly for further clarification.

What if I do not have health insurance?

If you do not have insurance or your health care benefits do not cover care at our office, please call our billing department for an estimate.  However, in order to receive our reduced rates, you will be required to pay in full for services rendered in our office at your scheduled appointment.

Billing Questions