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Esse Health Billing Policy |
Billing Department: (314) 851-1087 |
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Copayments - If your insurance policy requires a copayment, this payment is required at the time of service. Esse Health will not file your copayment to a secondary insurance unless you have Medicare or other designated federally funded programs as a secondary insurance. However, Esse Health will provide you with any documentation your insurance carrier may require. |
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HMO Coverage - If our physician is designated as your primary care physician with your insurance carrier, Esse Health will bill your insurance company. You will not receive a bill unless your carrier denies payment. (You are required to pay your copayment at the time of service. We do not bill for copayments.) |
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PPO Coverage - If our physician participates in your insurance plan, Esse Health will submit your claims to your PPO insurance as a courtesy. If there has been no response from your carrier within 60 days, the balance becomes immediately due and payable by you. Again, you are required to pay your copayment at the time of service. |
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Indemnity/Commercial Coverage - Our physicians are not contracted with these types of insurance plans; therefore, payment is required at the time of service. As a courtesy to you, Esse Health will submit your claims to your insurance carrier. |
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Medicare Coverage - Esse Health's Internists, Allergists, and Family Practitioners are participating providers with Medicare. For your convenience, secondary insurance is automatically filed by Medicare when the information is given to us in advance. |
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Secondary Insurance - As a courtesy to you, Esse Health will file your secondary insurance. This is done after payment is received from your primary insurance. Esse Health's policy is to file the secondary insurance one time. If there has been no response from your carrier within 60 days, the balance becomes immediately due and payable by the patient. |
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Patient Statements - Esse Health sends statements to patients on a monthly basis. Payment in full is due upon receipt. Esse Health will accept your check, Visa, Master Card or Discover Card as payment. If your payment comes back dishonored, Esse Health reserves the right to charge a processing fee. |
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Your insurance plan is indicated on the statement. To help us process your claims more efficiently, please call the phone number on your statement with any insurance plan discrepancies. Also, please note that the type of insurance plan you have determines the payment requirements. |
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Workers' Compensation - Please contact your employer regarding workers' compensation injuries. Be aware that your employer may require you to see a specific contracted company physician for any work related injuries. |
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Auto Accidents - In Missouri, for non-Medicare patients, we will bill your medical insurance directly for all charges relating to injuries from an auto accident. In Illinois, Esse Health reserves the right to require payment at the time of service or to bill the patient's auto insurance. Esse Health will provide you with an itemized statement upon request. |
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Federal regulations do not permit us to bill Medicare as the primary insurer in the case of auto accidents. Medicare patients must provide Esse Health with the auto insurance information: company name, mailing address, phone number, claim number, and the adjuster's name. Esse Health will file the claim for you; however, payment is ultimately the patient's responsibility, and you will receive a monthly bill until payment has been received. |
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To Contact Us - To notify us of a change in your address, telephone, or insurance coverage, please contact the doctor's office where you are seen. |
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To contact us regarding any billing issues not addressed on this page, you may call our Billing Office at 314-851-1087 or 1-800-454-3779. |
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Return to Privacy Policies and Practices |
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