- Anthem Blue Cross & Blue Shield
- Anthem Medicare Advantage Plans
- Blue Cross Blue Shield
- Federal Blue Cross Blue Shield
- Teamster–Blue Cross Plans
- Teamster–Aetna Plans
- Aetna Medicare Advantage Plans
- Connecticare Medicare Advantage Plans
- United Healthcare
- Golden Rule
- Connecticut General Life Insurance Company
- All Medicare Supplemental Plans
- Bankers Life
- United HealthCare
- Workers Compensation Insurance (State of CT injuries only)
Insurance Billing and FAQs
As a courtesy, we will bill your insurance carrier on your behalf, and only collect the amount deemed your responsibility from your insurance carrier. This will include payment for any co-payment at the time of service and for any deductible/coinsurance or non-covered services determined by your contract with your insurance carrier.
We strongly recommend that you verify your insurance benefits prior to your appointment so that you will have a full understanding of your covered benefits, limitations, and financial commitment.
Patients that have coverage requiring a referral from their primary care insurance are responsible for acquiring and tracking their referral expirations. Our office will not be held liable for the absence of a referral. For patients who have a coinsurance it is important to note that our office provides highly specialized surgical procedures that may produce patient balances that can range from $50–$500.
Who do I contact with a billing inquiry?
Patients and Attorney’s should contact our billing service:
Medical Billing Consultants
Phone number: 203-296-2016
What methods of payment do you accept?
We accept payment via check, master card, visa, discover, American Express (balances over $250 only) and cash. If you are a self-pay patient coming to our office for your first appointment, payment must be made by cash or credit card only.
How are my charges determined?
Our charges are determined by our facility based on the services provided. We are required to bill according to national uniform medical billing codes (CPT) which is standard practice for medical claims submission. Claims will be paid by your insurance company based on an established “reasonable and customary” charge determined by the carrier. Coinsurance balances result from reasonable and customary charges not the amount billed by our office.
Why do I not see a specific payment reflected on my statement?
Payments are posted to each date of service that has an open balance. If your payment was more that the balance due on one claim line, the maximum amount that can be posted to that claim line is the current balance. Any remaining amount from your payment could show as (5) $20.00 payment for five different dates of service instead of a $100.00 payment.
Why am I being billed for dates of service that I paid last month?
Payments received are applied to claims that have open balances from the oldest date of service to the newest date of service. Insurance carriers will often pay claims out of sequence. Therefore, timing differences will result in more recent dates of service to be paid before older dates.
Why would I have a credit on my account?
When you make a co-payment on a date of service that has not yet been paid by your insurance company; the copayment will remain as a credit until paid.
Workers Compensation Insurance
At Connecticut Pain and Wellness Center, LLC we specialize in the management of workers compensation claims. Our highly trained specialists have spent years establishing relationships with insurance carriers that assist our patients to receive the authorizations necessary to receive treatment.
When calling our office to arrange your initial evaluation we require following information listed below. This information is necessary to expedite authorization for your initial evaluation and future treatment with our office. If you do not have this information, you must contact your treating physician or attorney’s office prior to calling for an appointment.
- Name of insurance carrier
- Telephone number of insurance carrier
- Claim number
- Date of injury
- Name of adjuster
- Extension and fax number of adjuster
Workers’ compensation patients must be referred to pain management.
Most injured workers have treated previously with an orthopedic, neuro-surgeon or other specialist. The current treating provider’s office should send an authorization request to the insurance carrier for treatment by a pain management specialist.
Once you have established treatment, patients are responsible for contacting our office 24–48 hours prior to a scheduled procedure appointment to verify that their treatment has been approved. Confirmation of your appointment by the front desk DOES NOT validate that your treatment has been authorized.
When a motor vehicle accident or a personal injury occurs those involved may suffer from injuries. Many of these injuries lead to chronic pain requiring pain management. The providers at Connecticut Pain and Wellness will attempt to help accident victims overcome their pain and heal from their injuries without surgery or excessive medication, with the ultimate goal being to help victims return to their everyday lives.
Even if you have not yet made the decision to pursue litigation as result of your accident, selecting a professional is still a very important decision. Our providers are specifically familiar with the management of accidental injuries and provide expert medico-legal documentation. In addition, our competent staff will help coordinate any insurance benefits, if available. If you have already made a decision to pursue litigation, our staff will work with your lawyer to make sure you have all that you need to protect yourself. It is our goal to make sure that your rights are protected and your injuries are properly documented.
HIPPA Privacy Rights
For more information on your privacy rights under HIPPA, including how medical information about you may be used and disclosed and how you can get access to this information, download our Notice of Privacy Practices. You can decline to sign this Notice here.
New Patient Forms
We kindly ask all patients to completely fill out our New Patient Forms, and bring a printed copy of the completed forms to your first appointment. Failure to fill this form out completely and bring a printed copy with you to your first appointment will likely result in a delay in seeing our medical team.
Make an Appointment
Our hours of operation are 9:00 AM to 5:00 PM Monday through Friday.
For ease of scheduling, we now provide opportunities on select days to schedule appointments as early as 6:30 AM for patients who wish to take care of their pain management needs before work or school.
Call our office today, and schedule your initial evaluation. “All You Have To Lose Is The Pain.”
Call today—(203) 319-9355 (WELL).