Billing Department

Our objective is to process your claims quickly by entering charges electronically using a scanning process that reduces data entry error. Your claims are submitted daily by electronic transmission directly to your Insurance.

We aim to process your claims accurately by having specific departments assigned to eligibility and benefits verification.

We have a staff with long term employees and extensive medical receivables background with an insurance carrier specific department to handle follow-up.

Telephones are answered by live people who route calls to the appropriate department who will help rectify the situation the first time. We also have bilingual staff to assist you if needed and a private area within the department available for billing question discussions, making payments or payment arrangements.

FAQ'S:
1. Do you accept my insurance?
We are contracted with most insurance but because there are constant changes in the insurance industry it is the patient's responsibility to verify this with their specific insurance plan.

2. Why am I getting a bill?
If you have insurance most patient bills are for co-pays, co-insurance amounts or deductibles due from the patient. Our policy is to collect the copay at time of service if it is listed on your card.

3. Why didn't my insurance pay for this service?
There could be several different reasons why your insurance denied your claim. The Billing Department will help you determine this and recommend any follow-up action that may need to be taken. ***

4. Can I make payment arrangements on my balance due?
Our collections department can set up budget payment arrangements to help you with outstanding balances.

*** Note: Some insurances (including Medicare) do not pay for yearly routine exams and some or all screening testing. Also there may be time limit restrictions on some of these services. It is important that you make yourself familiar with your plan's benefits.

Hours:
7:30AM to 4:00PM
(Mon - Fri)

Phone:     508-675-7819
Fax:          508-675-3822
                 or 672-1598

Prima CARE, P.C.
Billing Department
4th Floor
277 Pleasant St.
Fall River 02722

Click here for office directions

Our Mission

 

At Prima CARE, our focus is the patient. We are by your side and on your side wherever you need healthcare, whether in the office, the hospital, the nursing home, the Ambulatory Care Clinic or at home where we make housecalls to home-bound patients. Our goal is the delivery of evidence-based medical care of the highest quality. Prima CARE is committed to the doctor/patient relationship through humanism, communication, empathy, compassion and respect, all joined together by trust.