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Billing/Insurance FAQs


Insurance

I just changed health insurance companies. What will I need to do for my next visit to Baystate Ob/Gyn Group, Inc.?

At my last appointment, I forgot to bring my new insurance card or I had not received my new card yet. What should I do?

I do not currently have insurance and I have an upcoming appointment or would like to schedule an appointment. Will I need to do anything prior to my appointment?

Statements/Patient Balances

I received a statement for services that should have been billed to my insurance company. 

I received a statement for a bill that I have already paid.

I received a bill from a laboratory (not Baystate Ob/Gyn Group Inc.) for laboratory services that were performed at Baystate Ob/Gyn or ordered by my physician. If I have questions about the bill, who should I call?

My insurance company has made me responsible for paying the balance for my visit at Baystate Ob/Gyn. What should I do?

I have received a bill and I would like to set up a payment plan. Who should I contact?

First Financial Resources

I have been contacted by First Financial Resources regarding my outstanding balance. What is their contact information?

Referrals

My insurance company requires me to obtain a referral from my Primary Care Physician (PCP). Do I need to obtain this referral before my visit?

I do not know whether my insurance will require a referral for my upcoming appointment. How can I find out?

 

I just changed health insurance companies.  What will I need to do for my next visit to Baystate Ob/Gyn Group, Inc.? 

Each time you change health insurance companies, you will need to update your insurance information with us.  Be sure to bring your new insurance card with you to your next visit.  When you check in for your appointment, notify the receptionist of the change in your insurance.  Our receptionist will ask you to update your information by filling out a new patient information form.  (You can also fill out a new registration form at home by printing our online registration form - click here to access our PDF patient information form. Downloading this form requires Adobe Acrobat Reader, which can be downloaded for free at www.adobe.com)  During your next visit to our office, the receptionist will also take a copy of your insurance card for our billing department.  Once we have your new insurance information, we will update the information in our computer system so your new insurance will be billed for your visit. 

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At my last appointment, I forgot to bring my new insurance card or I had not received my new card yet.  What should I do?

You will need to call the billing office as soon as possible with your new insurance information.  You may be asked to fax a copy of your card to our office so that we may accurately update your information in our system.  Failing to notify our office of an insurance change will most likely result in a denial of payment from your expired policy as well as a delay in payment or payment denial from your new insurance company.  As a result, the balance will be turned over to you for payment.  It is very important to keep your insurance information up to date with our practice.

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I received a statement for services that should have been billed to my insurance company. 

On your statement you will most likely find a note explaining why your insurance has not been billed for the visit or why your insurance has not covered the bill.  If the statement is instructing you to call our billing office, please do so as soon as possible.  If it is still unclear why you are receiving a bill, please don't hesitate to contact the billing office. 

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I received a statement for a bill that I have already paid.

Chances are the statement was sent out before your payment was posted to your account.  However, please call the billing office to confirm the payment has been received and posted to your account.

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I received a bill from a laboratory (not Baystate Ob/Gyn Group Inc.) for laboratory services that were performed at Baystate Ob/Gyn or ordered by my physician.  If I have questions about the bill, who should I call?

If the bill is not from Baystate Ob/Gyn Group Inc., you should call the phone number given on the bill.  Regardless if the lab was originally performed in our office (for example, a Pap smear), or if the lab was ordered by your provider (for example, a blood test), we do not have access to the laboratory billing records.  

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My insurance company has made me responsible for paying the balance for my visit at Baystate Ob/Gyn.  What should I do

You can send your payment to the billing department (please note your account number on your check).  The address to the billing department is:
        Baystate Ob/Gyn Group, Inc.
        246 Park Street, Suite 202
        West Springfield, MA 01089

 

If you are unsure and/or disagree with why your insurance company has denied payment, please call your insurance company.  Although the billing office may be able to provide some general information about why your appointment was denied, we do not have information about your individual insurance policy to answer specific questions about the reason for denial; your insurance company will be able to explain the denial in greater detail.  In most instances, your insurance card will have a customer service phone number on the front or back of your card. 

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My insurance company requires me to obtain a referral from my Primary Care Physician (PCP).   Do I need to obtain this referral before my visit?

If your insurance company requires you to have a referral for an appointment with our practice, it is important that you request your referral from your PCP in advance, so he or she can prepare the referral before your visit.  You can either have your PCP mail the referral to us, or you may hand-carry the referral to our office at the time of your appointment.  Each time you are seen in our practice, we require that you sign a waiver on the back of your fee slip.  This waiver allows us to release information to your insurance company about your visit and also acknowledges you as financially responsible for your visit if your insurance company denies payment.  If we do not have a referral on file for your visit, or if you do not have a referral with you at the time of your appointment, your visit may be denied by your insurance company and the balance will become your responsibility.   

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I do not know whether my insurance will require a referral for my upcoming appointment.  How can I find out?

Recent legislation has made it possible for women to see their Ob/Gyn provider in most instances without a referral.  However, there may be special circumstances with your insurance policy that still require you to obtain a referral.  To find out if your insurance requires you to obtain a referral from your PCP, please call your insurance company.  Although your PCP or our billing office may know about the general requirements of many insurances, the best way to be sure about referrals and benefits is to consult your insurance benefits handbook or call your insurance company. 

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I do not currently have insurance and I have an upcoming appointment or would like to schedule an appointment.  Will I need to do anything prior to my appointment?

If you do not have insurance (and are therefore considered "self-pay"), you will need to contact our billing office prior to your appointment so appropriate arrangements can be made for payment of your visit.  You can reach our billing department by calling 
(413) 794-8460. 

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I have received a bill and I would like to set up a payment plan.  Who should I contact?

Our Financial Coordinator, Chris, will be able to assist you in setting up a payment plan for your balance.  It is important to establish this payment plan as soon as you receive your initial bill to avoid possible collection action.   You can contact her at 
(413) 794-5915. 

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I have been contacted by First Financial Resources regarding my outstanding balance.  What is their contact information?

If you have been contacted by First Financial, you will need to contact them to discuss your account.  Their contact information is as follows:

 

FIRST FINANCIAL RESOURCES, INC.

P.O. Box 2586
1001 Worcester Road
Framingham, MA 01701

 

Phone: 1-800-747-2302

Fax: 508-875-4763

You can also visit them online at http://ffrcollects.com/index.html

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This page was updated 5/13/04