What can I do if I don’t agree with how my insurance processed my claim?
First, refer to your insurance benefits manual and make sure you understand your benefits. If, after verification, you determine that
How do I know what services are covered under my insurance plan?
Your insurance benefit manual will give you a good idea of which services are covered under your plan. When in
Can my child still be seen if I don’t have insurance?
Mountainland Pediatrics accepts self-pay (uninsured) patients. Self-pay patients are required to pay at the time of service and will receive
Can MLP change how my child’s visit was billed so my insurance will pay the claim?
We are required by Federal Law to report the exact services provided and the exact reason for providing them. It
What if my insurance denies a service as an inclusive denial?
An inclusive denial means that the insurance believes that one or more service that was billed should have been included
What if my insurance denies a service as non-covered?
Non-covered services are your responsibility. Before seeing the doctor, we recommend contacting your insurance and verifying which services are covered
How much do you charge for office visits and/or other services?
Although we have specific prices assigned to each code we bill for, we can't determine what the cost for your
Why do you charge what you charge for services?
There is a nationally based system (RBRVS) that gives a point value to each service we provide. These points are
How do I know when my insurance has responded to a claim?
Most commercial insurance companies will send you an Explanation of Benefits (EOB) as soon as a claim has been processed.
What are co-pays and when are they due?
Co-pays are out-of-pocket expenses that are part of your contract with your insurance. Co-pays are usually a specific dollar amount