INSURANCE PROVIDERS WE DIRECTLY BILL TO

 

Here is a list of insurance providers we directly bill to, including their contact numbers and websites:

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1. Alberta Blue Cross
   1-800-394-1965 www.ab.bluecross.ca
    

2. Canada Life
   1-800-957-9777 www.canadalife.com
    

3. Chambers of Commerce
   1-800-665-3365
   www.my-benefits.ca
    

4. Claim Secure
   1-888-513-4464 www.claimsecure.com
    

5. Desjardins
   1-800-463-7843
   www.desjardins.com/ca/alberta
    

6. Equitable Life
   1-800-265-4556
   www.equitable.ca
    

7. Green Shield Canada
   1-888-711-1119
   www.greenshield.ca
    

8. Group Health
   1-833-344-6944
   www.grouphealth.ca
    

9. Group Source
   1-888-547-6947
   www.groupsource.ca
    

10. Industrial Alliance
    1-877-422-6487
    ia.ca/individuals
     

11. Johnston Group
    1-800-893-7587
    johnstongroup.ca/my-benefits
     

12. Manulife
    1-866-407-7878
    www.manulife.ca
     

13. Maximum Benefit
    1-800-893-7587
    www.maximumbenefit.ca
     

14. Medavie Blue Cross
    1-888-873-9200
    www.medaviebc.ca
     

15. People Corporation
    1-800-875-7982
    www.peoplecorporation.com
     

16. Sunlife Financial
    1-800-361-6212
    www.sunnet.sunlife.com

Understanding Direct Billing

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At our clinic, we offer direct billing services for most extended health insurance providers, meaning we bill your insurance company directly for the services provided. This system streamlines your experience and removes the need for you to navigate the paperwork independently.

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Know Your Coverage

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It's essential to familiarize yourself with your insurance plan. Knowing what treatments are covered and the limits of these coverages is your responsibility. For example, if your plan covers 80% of charges up to $100, and the charge is $120, the insurance will pay only $80, not $96. Understanding your plan will help avoid unexpected out-of-pocket expenses.

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Direct Billing Eligibility

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Some insurance plans may not allow direct billing. It's crucial to confirm with your insurance provider if your plan supports this. If direct billing isn't permitted, you will need to pay upfront, and we will provide a receipt for you to claim the expenses from your insurance provider.

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Coordination of Benefits and Primary Provider

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Coordination of Benefits (COB) is an important concept to understand. It prevents the overpayment of claims when you are covered by more than one insurance plan. We can often only bill directly to your primary insurance provider, and you would need to claim the balance from your secondary provider.

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Co-Payments

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Co-payments, or co-pays, are your share of the treatment cost. If your insurance plan includes co-pays, you are required to pay this amount directly to us at the time of service.

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We Don't Have Access to Your Plan Details

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Please note that we do not have access to your individual insurance plan details. This includes information about your coverage limits, co-pay amounts, or remaining balance for the year. We encourage you to maintain an active understanding of your insurance plan details.

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Assignment of Benefits

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When you opt for direct billing, you are required to sign an Assignment of Benefits form. This document authorizes us to bill the insurance company directly and to receive payments on your behalf. It simplifies your payment process, but it doesn't negate your responsibility to track your coverages.

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Handling Rejected Claims

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At times, insurance providers might reject a claim for various reasons. In such cases, we will inform you about the rejection, and you will be required to pay for the service rendered. It will then be your responsibility to liaise with your insurance provider regarding the claim.

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Your Role in Direct Billing

 

Direct billing is a partnership between you, us, and your insurance provider. While we handle the billing process, we count on you to understand your coverage, pay any co-pays or uncovered fees, and manage any issues with the insurance company directly.

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For any specific questions regarding your coverage, please contact your insurance provider directly. It's a good practice to understand your insurance plan's specifics to ensure a seamless and comfortable experience at our clinic. We appreciate your understanding and cooperation in these matters.