insurance billing practices


The Natural Health Center, LLC gladly offers the service of insurance benefit verification. Our Billing Department will contact your insurance carrier to obtain coverage information on your behalf. Please be aware that if for any reason benefit information received by the Natural Health Center, LLC does not result in payment by your insurance carrier for services rendered, you will be responsible for any balances resulting in denial of benefits or coverage.

As a courtesy to you, Natural Health Center, LLC will bill your insurance policy or policies for covered services only.  If Naturopathic/ Acupuncture is not a covered benefit under your policy we will not courtesy bill for these services  Certain exceptions may apply, such as needing the denial from your primary insurance to bill your secondary insurance.

  • Commercial Insurance:

Currently we have three providers who are contracted with Blue Cross Blue Shield.
          Rick Abbott, DC - Chiropractor
          Birgit Lenger, ND - Naturopathic Doctor
          Laura Croix, PT – Physical Therapist

 

  • Federal Government Insurance:
    Naturopathic Poviders are not covered.

Medicare/Medicaid/GEHA/Federal Blue Cross/Tricare/VA/Mailhandlers

We do have denials on file from Medicare for Naturopathic/Acupuncture services so if you have a secondary policy, not supplemental, they may be covered.  Some secondary policies that have been billed and have accepted these denials for Naturopathic services are:  Wells Fargo (Alaska Care), Blue Cross, Aetna, EBMS, ASEA, and IBEW.  Wells Fargo and ASEA do not cover Acupuncture services. 

At this time we are not accepting any new Medicare patient’s for Dr. Abbott or Laura Croix, PT.

 

  • Workers’ Compensation/Personal Injury:

There are separate Benefit Verification Forms online for Workers’ Compensation or Personal Injury; again you will have to provide this information with your completed paperwork upon check-in.

If you are being treated for a Workers’ Compensation claim you must be seen by Dr. Abbott first.  He will be able to refer you to see a Naturopathic/Acupuncture provider if it is appropriate. 

We do not bill 3rd party auto insurance.  If you are in an auto accident we will only bill your auto insurance policy. 


At Natural Health Center, LLC we make every effort to collect insurance portions due from your insurance company before we transfer the balance to your responsibility.  Sometimes we require your help with this process.  This includes submitting appeals on your behalf when a “Non-covered” provider denial is received and you have verified via your Benefit Verification form they were a covered provider. 

If Insurance requests information from you to process claims, we will give you a written notification that the information is needed and a two week grace period to follow up with your insurance to provide that information to them.  If after this time the information is not returned or being followed up on, the balance will be transferred to you and any future services you may have at the clinic will need to be paid for in cash at the time of service.


For questions about billing call Beckie at:  274-2317 or e-mail us.

Beckie Amy
Beckie Amy

For your convenience, here is a link to the insurance equality law:
AS 21.36.090. Unfair Discrimination