Billing FAQ

Frequently Asked Questions

We work with most major insurance carriers. However, you should always check with your insurance company directly prior to your visit to verify GMA is in your network and ask any specific information related to your individual policy.

There are many convenient ways to make a payment:

  • Pay online.
  • Pay with mobile by scanning the QR code on your statement.
  • Mail a check or money order to:
    • GMA – ATTN: Billing
      P.O. Box 268897
      Oklahoma City, OK 73126
  • Autopay: Keep your credit card on file. We’ll send a payment reminder three days before your card is charged for the balance due.
  • Pay by phone: Call us at 970-945-8503.

Updating your information is easy and can be done several ways:

  • Call us at 970-945-8503 with any information you wish to update.
  • Text us at 970-945-8503 with the information, along with a picture of the front and back of your insurance card.
  • Update it through your patient portal.
  • Tell us during the check-in process for your next visit.

A list of commonly billed procedures with prices can be found on our patient resources page. If the procedure you’re looking for is not on this list, please call or text us at 970-945-8503 for more information. You should always check with your insurance company directly prior to your visit to verify GMA is in your network and ask any specific information related to your individual policy.

We offer several convenient payment plans based on your current financial status. If you prefer to pay without creating a payment plan, you have two billing cycles to pay the balance in full before the collections protocol begins.

All charges are submitted to insurance first. Most insurance companies pay services after the deductible and out-of-pocket max have been met. Check with your insurance company directly prior to your visit to verify GMA is in your network and to determine what will be covered if you have not yet met your deductible and out-of-pocket max.

Preventative services are covered through the Affordable Care Act, however patients may be billed if other health concerns are discussed, diagnosed and/or treated during that visit. Most patients appreciate the convenience of a single visit that makes the most of your time. In these instances when an annual physical and a problem-focused visit are combined, you may incur an additional co-pay, co-insurance or an out-of-pocket expense depending upon your policy. Some, but not all, labs are considered preventative services. If a lab is ordered during a preventative visit but is run for diagnostic purposes, we are required to use the diagnosis code.

No, all labs are not covered because your visit is for your annual physical. If you are uncertain if the lab work ordered will be paid by insurance, please contact your insurance company directly prior to completing that lab work.

We can send this charge to be audited to ensure the coding was submitted correctly. It is illegal for a medical clinic to change or alter the coding of a medical charge without an error having been identified.

GMA is required by law to list our Lab Director as well as the referring provider (your provider) on any claim billed to insurance for GMA lab services. This may show on your bill as Dr. Nau and/or Dr. Lorah since they serve as Lab Directors even though you didn’t meet with either of them directly.

A “deductible” is what you pay first for health care services, in addition to your monthly insurance premiums, before insurance covers the cost. Once you reach your deductible and out-of-pocket maximum, your insurer should cover the costs of your health care services in full. Your out-of-pocket maximum is often on your insurance card and may vary depending on whether you are using services “in network” or outside your insurance network. If you are unsure, check with your insurance company directly prior to your visit to verify GMA is in the network and to determine what will be covered if you have not yet met your deductible and out-of-pocket max.

Depending on your policy, you may still have a co-payment or co-insurance until you meet your out-of-pocket max. Check with your insurance company directly prior to your visit to verify GMA is in your network and to determine what will be covered if you have not yet met your deductible and out-of-pocket max.

An “Advanced Beneficiary Notice of Non-Coverage,” or ABN, lists the items or services that your provider anticipates Medicare will not cover along with an estimated cost and the reasons why Medicare may not pay.  When you sign the ABN, you may choose to receive those items or services and assume the associated costs should those services not be covered by Medicare, or decline the items or services Medicare is expected not to cover.

Your GMA provider is your partner in owning your health. In these instances, you can reach out to your provider, who may be able to provide a letter on your behalf.

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