Insurance Reimbursement How-To
HOW TO GET REIMBURSEMENT FROM YOUR PRIVATE INSURANCE for DPC = Direct Primary Care
!!! DON'T do this with MEDICARE/SOONERCARE/TRICARE, else you'll be committing fraud !!!
look up online via Google for "reimbursement forms for patients" + "your insurance company name"
find the appropriate form most will be in PDFs, make sure it said somewhere on top Reimbursement "for Patients" or "for subscribed/insured person" on it
make sure you carefully distinguish between "insured/subscriber" vs. "patient". For example, "patient" = you who was seen and treated by me directly, while "insured/subscriber" = your spouse or the purchaser of insurance who pay the insurance bills
make sure you DON'T check any boxes that say you want them to pay directly to the "Provider" (meaning me your doctor) because I won't cash that check if they send it to me
attach to it the INVOICE (the one with our logo and "paid in full" stamp and ICD-10 codings typed on it, see sample image below) that we usually give you at the end of your visit whenever we collected payment from you
follow instruction on the form closely, fill out everything--unless the form told you it's optional
mail them all in
sometimes they have options to submit everything online too, so if you prefer electronic filing, you should look for that option
then wait for a check from your insurance company written with YOUR NAME on it as the receiver. Enjoy!
Examples of paper forms:
BELOW image is an example/sample of our INVOICE that we always email you at the end of your medical visit, which you can use to send to your insurance company with your "REIMBURSEMENT FORM FOR PATIENT/INSURED/SUBSCRIBER" that was filled out by you as above.
