Great West Life
Cowan Insurance Group
Sun Life Financial
Reduce your out-of-pocket expenses. Eliminate insurance paperwork.
Your Common Billing Questions, Answered
Click a heading to expand
How does direct billing work?
We will ask you to fill out a Direct Billing Formwhich will give us your policy number/ID and we submit your claim through an internet-based portal; which usually gives us an immediate answer about your coverage.
Will I need to pay anything?
You may need to pay the remainder of the visit fee, according to the e-claims response. For example, if you are covered 80% of your $75 visit fee, you will need to pay $15 (e-claims will “pay” the remaining $60 to the clinic). It all depends on your individual coverage and e-claims response.
Can I check what my exact coverage is or how many visits are covered?
The web e-claims submission portal is not designed to check statements/limits/policies etc. If you want to check your coverage, remaining balance, deductible or other benefits related policies, please contact your insurance provider directly.
Can I use direct billing to prepay for my future visits?
No, we can only direct bill for visits after treatment or consultation has been provided.
What if I have several insurance plans? Can you help to coordinate them?
Unfortunately, at this time we do not offer any coordination of benefits. We are only able to direct bill one plan per visit. You will have to provide your other insurers with a copy of your receipt and coordinate with them.
Do I get a receipt if I direct bill?
Yes; it will detail the amount of your visit on the day; the amount the e-claims paid for and the remaining balance you paid for. This allows you to submit to your other insurer if you have one.
What happens when direct billing / online claims systems are down?
We will require some form of payment to settle the balance owed to Adelaide Clinic. We allow for payment by cash, debit, or credit card. Once the balance is paid you will be provided a receipt which you can submit to your insurer.