Billing
 
 

1. Can you bill my insurance?
Billing and Insurance: We believe our fees fairly reflect the value of the services we provide. Please feel free to discuss with us any question regarding fees. As a courtesy, we can bill your insurance company. According to our agreement with the health plans, we must collect all co-payments and deductibles at the time of service.

At Grossmont Family Medical Group, our billing department is in-house, making it more convenient and personal for you to communicate with us about your bill or other insurance-related issues.

2. How do I reach the billing department?
The billing department is available by phone, or walk-in, Monday- Friday from 8:00 AM to 12:30 PM and 1:30 PM to 5:00 PM.  You may also e-mail any billing question through this website.

3. I received a bill, but have insurance. What does this mean?
The bill you receive usually reflects the amounts your insurance company does not cover. It may be due to the coverage of the plan that you or your employer have purchased. Not all plans are alike. You will need to call your insurance company or refer to you insurance manual for specific plan coverage.

3. I received a bill from a lab or hospital lab, but I did not receive services there. Why?
If doctor requires your blood be drawn or other specimen be sent for testing, those tests are performed by outside labs. Please be ready to present your current insurance information to our lab technician to be forwarded along with your specimen to the outside lab for billing. If you feel they do not have your correct information, please call them at the phone number listed on your bill.  For Quest Diagnostics billing questions please call 1-800-326-4756 (Option "2").  For Grossmont Hospital Lab billing questions please call 1-800-499-2400.

4. My HMO requires a co-pay, but I do not have the money. What should I do?
Please let the receptionist know. Unless you have an urgent health problem, you may be required to reschedule your appointment. We are required by the health insurance companies to collect co-pays at the time of service. We accept cash, checks, VISA, and MasterCard.

5. I received a bill from other facilities (e.g. Sharp Healthcare, Alvarado Hospital, other doctor groups ( Sharp Rees-Stealy, Urgent Care, emergency rooms, etc.) Why?
You may have had tests done, or consultations, at those other facilities. They may, or may not, have been ordered by your primary care doctor here. For more information, please call the telephone number on your bill, and have your account number ready. For bills from the emergency rooms or Urgent Care facilities, you should have called your doctor for prior authorization. If you did not, that may be why you received a bill.

6. Why do I have to pay to have forms filled out?
Health Insurance companies require us to keep complete records and complete complex billing forms. They do not pay the physician to fill out other forms. Our office charges a special fee to fill out physical forms, disability forms, and Department of Motor Vehicles forms based on the complexity of the form. We do not charge for WIC forms, simple work excuses, or school excuses. The receptionists have a current list of our form fees.

YEARLY, YOU WILL NEED TO SIGN A STATEMENT THAT YOU DO WANT YOUR THIRD PARTY PAYOR TO SEND PAYMENT TO GFMG ON YOUR BEHALF. We need this "signature on file" to bill your insurance.

PLEASE BRING YOUR INSURANCE CARD TO THE OFFICE FOR EVERY ENCOUNTER