Billing & Insurance
In order to accommodate the needs and requests of our patients we have enrolled in numerous managed care insurance programs. The following list consists of networks that Urology, P.C. and Urology Surgical Center have contractual arrangement agreements in place for communication purposes. These are the main networks, and it is important to note that there may be other insurance companies that fall within these networks.
- Blue Cross Blue Shield
- Bright Health
- Charon Shared Services (CSS)
- Choice Care/Humana
- Medicare and Railroad Medicare
- Medicare Advantage Plans (check with our Billing department for specific plan participation)
- Medicaid Nebraska (all plans)
- Midlands Choice Network Providers – includes many smaller insurance companies
- Nebraska Furniture Mart
- Provider Network of America (PNOA)
- United Healthcare (UHC)
While we are pleased to be able to provide this service to you, it is extremely difficult for us to keep track of all the individual requirements of the plans. Each one has different stipulations regarding how often services may be rendered and, even more importantly, where those services may be performed.
Even within the same insurance company, the plans differ depending upon what type of contract your employer has negotiated.
Providing quality medical care for our patients is our primary concern. We are more than willing to provide that care within your insurance contract guidelines if you let us know at EACH time of service exactly what those guidelines are.
Unfortunately, if you do not inform us of any special requirement in your contract and we subsequently order services, such as lab work or hospitalization, that are not covered, we or the selected medical facility will have no choice but to bill you directly for those charges. Payment for those charges is then your responsibility.
With your cooperation and help, you should be able to receive all of the benefits offered to you, and we will be able to concentrate on caring for your medical needs.
Additionally, we will collect a co-pay as indicated on your insurance card. However, insurance policies vary and the possibility remains your insurance company may apply your charges to a deductible or require additional co-insurance to be paid by the patient. We have no control over how your claim is processed by your insurance company and any issues related to processing of claims must be addressed with your insurance carrier.
Can I pay my bill online?
Yes, please click here to access the online bill page.
Will you file my insurance?
Will all services be covered by my insurance?
Why am I receiving two bills with the same account number?
Why am I getting a bill from physician's laboratory?
There may be certain lab tests that are necessary in your treatment or care that we don’t perform in our lab and are sent out to Physician’s Laboratory, or to Pathology Medical Services if a pathology test is required.
What is Co-Insurance?
What is deductible?
What is a copayment?
Why can I not see my previous payment on my statement?
Why has Medicare denied my claim?
Is there a charge for a No Show appointment?
Why do they ask for copy of my insurance card each time I’m in your office?
This is done to best serve you and to be able to file the claims to the proper company. Many times, insurance companies change addresses, or the in network claims processor changes but not the actual insurance company-these changes are important to billing as the claim may go to a totally different place. If your employer changes plans from one year to the next, it is imperative that you provide us with the newest card thus why you are asked if your employer has changed, or if you have retired. Details on insurance cards are very important to correctly filing your claim.
What is an EOB (Explanation of Benefits)?
Will you notify my insurance if I have to have a surgical procedure at the surgery center or at the hospital?
How much does a Vasectomy cost?
Why does my statement say the account is delinquent when I’ve been making payments?
Our current system applies the preloaded messages regardless of your payments. If necessary, you must contact our office and make payment arrangements; otherwise payment is due 30 days from your statement date.
What does it cost for an office visit?
There are 15 different levels of visits depending on many factors, so determining this prior to your visit would be very difficult to do, so we do not quote office visits for that reason.