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Insurance & Billing FAQs

Does your company accept my insurance?

We make every effort to participate with all major insurance carriers. Please visit our in-network insurance page for a comprehensive list of insurances we accept by each state and how each one is applied.

How much will my surgery or procedure cost if I am a private patient?

If you are a private (or self-pay) patient, please call 833-402-0575 to request a good faith estimate of how much your anesthesia bill will be. We will need to know the following information:

  • The facility where you will be having the procedure
  • The CPT code for the procedure
  • Approximately how long your surgeon estimates the surgery will last

Was my claim submitted to insurance? I gave all my insurance info at the hospital.

Yes, if you provided accurate insurance information at the hospital, we would submit a claim directly to your insurance carrier. If your insurance information is different from the information you gave at the hospital, please call 833-402-0575 and provide us with your updated information so that we can correct the claim. You can also update your insurance information at https://pay.napaanesthesia.com

Why do some of my services not appear on my statement?

In most cases when a charge is being considered by your insurance company, the charge will not appear on the statement until the insurance company tells us you have an amount due.

Why didn’t my insurance pay the anesthesia services charges in full? And how did your company determine what my co-pay or co-insurance is?

Depending on your specific insurance plan, you may be subject to a co-pay, deductible, and/or co-insurance. Your insurance carrier sends us an anesthesia services statement called an Explanation of Benefits, which tells us what portion of your bill you are personally responsible for. If you have a question about your level of benefits, you should contact your insurance carrier directly.

How long does it generally take for my charges to appear on the statement?

Charges will appear on your statement after we receive notice from your insurance company that you have a balance due.

Can I receive a discount if the balance I owe is part of my deductible or co-insurance? Or can your company accept the insurance payment as payment in full?

Federal and state laws require us to bill patients for their co-payments, deductibles, and co-insurance. If you cannot pay due to financial hardship, please call 833-402-0575 to discuss your account with us.

I received two bills for my anesthesia services. Am I being double billed?

No, you are likely not being double billed but instead may be receiving bills for two different anesthesia professionals.

If you received anesthesia care from a Certified Registered Nurse Anesthetist (CRNA) or a Certified Anesthesiologist Assistant (CAA), the Centers for Medicare and Medicaid Services (CMS) require that you receive a bill for both the services provided by the CRNA/CAA and the anesthesiologist that medically supervised that CRNA/CAA.

This does not result in a higher charge than having anesthesia administered directly by an anesthesiologist.

Why do I have a balance due for my services?

Your insurance carrier may not provide 100% coverage of your services. Refer to your insurance explanation of benefits for details.

Why do I receive bills for old dates of service?

At times, there may be a delay in charges being submitted for billing and added to your account or your insurance carrier may be delayed in processing your claim. As a courtesy, we do not send you a bill until your insurance company processes your claim.

I received a statement saying my payment is past due, but I have already sent a check. Didn’t you receive my payment?

Sometimes the statements we send cross in the mail with your check. Please check the date on the statement, as it may have been mailed before your payment is posted to your account. If you still have questions, please contact our Patient Advocate team at 833-402-0575 for information about your specific account.

Why did I receive a collection letter when I never received a statement?

You would not receive a collection letter before we sent a statement to you. We make every effort to resolve payment issues directly with a patient before moving to the collection process. If payment is not received within three months, or you have not contacted us to discuss your account, we may begin a collection process at that time. 

If you have moved recently and have not provided a forwarding address to the USPS, this may explain the rare occasion when a statement was not received before collection activities. If you believe that your account was sent to collection in error, please see the contact information specified in the letter you have received to update us on details about your account.