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What are the
different ways I can pay my bill?
Click here to view your bill pay options.
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Who is responsible for
paying my bill?
As a patient, you are ultimately responsible for all services you
receive from the physicians and staff at ADC. For patients who are
minors, the guarantor (the person who accompanies the minor) will be
responsible for the bill. ADC will be happy to file your insurance for
you with your insurance company. ADC will work with each insurance
company to help you receive maximum reimbursement on services
provided. However, payment for services is still each patient’s
responsibility
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What charges am I responsible for if I have insurance? What if I don’t
have health insurance?
If you have health insurance from one of the insurance companies
that ADC is contracted with, you will be responsible for your co-pay,
any deductible that your policy has, and for any charges that are not
covered by your insurance policy. The exact charges that are not
covered will be determined by your insurance company. If you do not
have insurance, you will be responsible for all charges for your care.
Please remember that ADC does not accept all insurances. You may be
responsible for all your charges if ADC is not contracted with your
insurance.
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Which insurances plans are accepted by The Austin Diagnostic Clinic?
Click
here to view the list of insurance plans ADC accepts.
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What is a deductible? Is it the same as a co-payment? What about
co-insurance?
A deductible is the amount you must pay for health care expenses
before insurance covers the cost of your care. It is not the same
thing as a co-payment. A co-payment, or co-pay, is the pre-determined
amount that your insurance policy requires you to personally pay for
services, in addition to what your insurance will cover. Co-insurance
is the amount of money that your health plan requires you to pay for
services after your deductible has been met. Co-insurance is often a
percentage. For example, you may be required to pay 20 percent of the
charges and your insurance company will pay 80 percent.
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Why did I receive a separate bill from the lab, hospital, and from
ADC?
Remember that NAMC (St. David’s) is a separate company from ADC
even though we share a building. When you are hospitalized, the
hospital will bill you separately for your hospital charges. In
addition, many times services that are provided in the hospital or at
an imaging center also have physician charges associated with the
services. In those instances, you may get a bill from both, the
hospital or the imaging center as well as a bill from your ADC
physicians for services they provided as part of your care. You may
also receive services from non-ADC physicians (such as
anesthesiologists) if you have surgery in the ADC surgery center or at
a hospital. ADC provides a wide range of laboratory services for our
patients, but sometimes certain tests are sent to another laboratory
or health care facility for processing. This may result in the patient
receiving a bill for the services provided by other facilities.
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How do I know if
ADC received my payment?
ADC will not send you a statement if your account has been paid in
full. Your cancelled check or the charge on your credit card bill will
serve as your receipt for the payment. If you believe that a payment
was not applied to your account, please call (512) 901-4600 and our
customer service department will be happy to help.
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Why
didn’t my insurance pay for services I received?
There could be many reasons your insurance did not pay for your
services. You should receive an Explanation of Benefits from your
insurance company that should explain why they did not pay for certain
services. Two of the most common reasons that your insurance does not
pay for services are 1) you have not met your deductible and 2)
services that you received are not covered by your policy. Always
check with your insurance company if you have questions about what
services they did or did not pay for.
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What
are non-covered services and why must I pay them?
In many situations, non-covered services are services that may be
important to your health, but are services that your insurance does
not pay for based on your policy. In other instances, they may be
services that are considered experimental or cosmetic in nature and
are not paid for by your policy. Check with your insurance company to
find out what services are not covered by your policy.
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Where can I get an itemized
bill?
Call The Austin Diagnostic Clinic Customer Service Department at
(512) 901-4600 to request an itemized bill.
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Why does
my statement have a balance forward amount?
After you receive services from The Austin Diagnostic Clinic, you
will receive a statement for those services if you did not pay your
bill in full. If the services are not paid in full within 30 days,
your next statement will show a balance forward amount.
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I’m having surgery and I’ve received a statement for “estimated
charges.” What are “estimated charges?”
Estimated charges are the charges we believe you will incur, based on
the surgical procedure you are scheduled for. If the surgeon must do
other things during the surgery, the final charges may be different.
This estimate also does not include charges that are not provided by
ADC (such as anesthesiology or pathology charges.) Those charges will
be billed separately by the party providing the service. For all
services that are part of surgery, the portion that you are personally
responsible for may differ once your insurance processes your claim.
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