Insurance and Billing
We will bill your insurance for your medical claims assuming you provide it to our office directly or you provided your insurance to the hospital. With Florida’s balance billing law and the new federal No Surprises Act, you will only be billed for your coinsurance and/or deductible due per your insurance’s explanation of benefits. We do not balance bill for out-of-network insurance plans.
We are in-network with all major carriers and many smaller carriers. To find out if we are in-network with your insurance plan, please contact your insurance carrier. Your insurance may ask for our group’s National Provider Identification number (NPI); it is 1073859484.
We accept checks and credit card.
Address to serve subpoenas
3661 S. Miami Ave
Miami, FL 33133
Subpoenas and billing record requests may be emailed to: firstname.lastname@example.org
We will upload your request to ChartSwap.com.
Our office will only be able to supply billing records. The patient’s medical records must be requested from the hospital directly.
Please note: If you have an imaging test at a hospital, it is normal to receive two bills. One bill is from the hospital and is for the technical component of your exam (the equipment and the services of the technologist who administers the exam). The other bill is from IntelliRad Imaging, and this is for the professional component of your exam (the radiologist who evaluates and interprets the images from your exam).
Network Status – As of July 2022
In-Network (INN) Insurance Plans
- We might be out of network with their HMO Exchange (Obamacare) plan, “MyBlue”
- ChoiceCare (part of Humana)
- Preferred Medical Plan
- Catholic Hospice
- United Healthcare
In-Network (INN) Provider Networks
- MultiPlan – this is a provider network that covers lots of insurance companies who are OON
- Assent Medical Cost Management
Out of Network (OON)
- Centene plans
- Sunshine Health
- Children’s Medical Services Health Plan
- Centurion Health
- Leon Medical Centers Health Plan (through Cigna)
- Leon Medical Centers Health Plan
- Leon Health
- Prestige Health Choice
- Bright Health Health Plans
- Community Care Plan
- Devoted Health
- Doctors Healthcare Plans
- MMM Healthcare
- Positive Healthcare Partners
- Preferred Care Partners
Network Not Required
Covered under hospital’s authorization. Hospital-based physicians are not eligible for network contracts.
- Simply Healthcare
- Clear Health Alliance