Billing and Insurance 

We accept most types of insurance. If you have any questions regarding patient billing and insurance, you may contact our central billing office:

1275 Dick Lonas Road NW
Knoxville, TN 37909
(865) 212-3618

Hours: Monday through Friday, 8 a.m.-4 p.m.

Insurance

It is the patient’s responsibility to notify our office when a referral or pre-certification is needed. Five working days are needed for referrals to be processed.

Medicare

We are a participating Medicare provider and accept assignment of all Medicare claims. We participate in traditional Medicare, Humana Medicare Advantage Plan and Blue Cross Blue Shield Medicare Advantage Plan.

We will file your Medicare claim for you, and Medicare will then send payment directly to us. At the same time, a Medicare Explanation of Benefits will be mailed to your home address.

We will also file supplemental policies on your behalf. Any deductible or insurance co-pay amount is the patient’s responsibility and due at time of service.

Managed care

Please inform us at the time your appointment is made if you are in a PPO or HMO managed care plan. Any co-payment required by your insurance plan is due at the time services are rendered.

We participate in many major plans, including but not limited to:

  • Blue Cross Blue Shield of TN
  • Aetna
  • Cigna
  • Humana
  • Tricare

However, with so many plans available today we may not participate in every one. If we are not a participating provider on your plan and you choose to see our physicians outside of your plan, your benefits may be reduced or eliminated completely.

Patient responsibility

Although we gladly file your medical insurance on your behalf, your policy is ultimately a contract between you and your insurance provider. It is your responsibility to monitor the processing and payment of claims.

After payment is received from the insurance company, any outstanding balance will be the patient’s responsibility.

If your insurance company is not one in which we are a participating provider, any balance remaining after 60 days from the date of filing will be the patient’s responsibility.

Payment

Payment for all services rendered is requested upon receipt of a statement indicating a balance is due.

Insurance payments sent directly to your home should be forwarded to our central billing office as payment for services rendered.

We accept cash, check, MasterCard, Visa, American Express or Discover.

Prevention

Preventive care is the hallmark of internal medicine, and often results in long-term cost savings on health care. In order to help our patients avoid preventable and costly illness, we offer routine exams, screenings and immunizations including annual flu shots.

Diagnostics

As primary care physicians, we are expertly equipped to diagnose and treat a host of medical conditions from the simple to the complex. Our state-of-the-art facility is equipped with on-site diagnostic equipment such as EKG (electrocardiogram heart monitor), X-ray, pulmonary function testing, and audiometry (for hearing testing).

Coordinated care

One of the jobs of a primary care physician is to coordinate patient care. We use Electronic Medical Records (EMR) to keep comprehensive charts for each patient, including records received from other physicians, clinics and hospitals. It makes complete patient information accessible right in the examination room, enabling our physicians to make informed diagnosis and treatment decisions. Additionally, we use e-prescribing to speed up the prescription process and reduce medication errors.