Billing Information | PRO2 Privacy Policy of Protected Health Information

MONTHLY RENTAL. All rental charges are billed out on a minimum of a monthly basis. Rentals are processed on a CYCLE DAY SYSTEM. Your CYCLE DAY is the date your equipment was initially delivered to you. Example: If your equipment was delivered on the 5th day of the month, your CYCLE PERIOD will run from the 5th day of this month to the 4th day of the following month, and so on.

PRO2 will make every attempt to bill direct to your insurance carrier and to accept assignment for your claims whenever possible. This means we will send your claim to your insurance carrier for you and receive payment directly from them. We will accept what they ALLOW as full payment for services. Most of the time what they pay is a portion of the ALLOWABLE CHARGE. Example: Medicare pays 80% of the allowable charge. The remaining 20% will be billed to you unless you have a secondary insurance policy. If you have a secondary policy we will bill the balance to them or it will be forwarded automatically by your primary insurance carrier. Many times the secondary insurance carrier will pay a portion of the remaining 20%. In this case you will receive an invoice for the balance not paid for by your primary and secondary insurance carriers.

It is very common now for the HMO type insurance carriers to only cover 50% of the allowable charges. This means you are responsible to pay the remaining 50%.

Your DEDUCTIBLE is assessed to you by your insurance carrier, usually at the first part of the calendar year. This is the part of your claim that is not covered or paid for by your insurance. You are responsible to pay this part and will be billed this amount when we receive a notification from your insurance carrier that your deductible has been applied to your claim.

Sometimes these costs can be a difficult burden. If you are having any problems with your share of the expense, please call our billing department early on and let them know your situation. All conversations regarding your personal finances will be kept STRICTLY CONFIDENTIAL. At no time will your level of service be compromised because of a financial hardship. The main objective is to provide you with the quality of care requested by your physician.

INSURANCE COVERAGE CHANGES. It is very important for you to advise us of any changes in your insurance carrier. Many times when you switch policies we need to get authorization for your benefit reimbursement PRIOR to the billing date. If we don't know about the change ahead of time, your insurance carrier might not honor your claim and you would be responsible to pay the entire bill for the months not covered.