NCS Patient Billing

NuVasive Clinical Services commits to partnering with patients and providers to support all parties through the billing process. Coverage for IOM services will vary by insurance provider. Please coordinate with your carrier prior to surgery.

IOM Reimbursement and Payment

If physician services are provided, those services will be billed separately to your insurance provider. Depending on your insurance, the monitoring physician may be out-of-network. If this happens and you would like our help asking your insurance provider to re-process the claim on an in-network basis, call 888.464.2466 (option 2).

After the claim is processed, your insurer will issue an explanation of benefits (EOB) outlining the charges for the monitoring services you received. The EOB is not a bill from NCS and it does not mean you are being “balance billed.” It explains how the insurance claim was processed and the amount of any coinsurance or deductible you may be responsible for based on your plan benefits. After NCS receives the EOB, we will send you a statement for the amount you owe, based on the applicable co-pay or deductible.

During the claims processing, NCS may ask that you provide additional information about your insurance coverage or ask that you sign and return an assignment of benefits (AOB) authorizing payment of insurance benefits to NCS and allowing NCS to appeal on your behalf. The AOB allows NCS to engage with your insurer on your behalf in order to get the claim paid correctly.   

For billing questions, please call 888.464.2466. Physician bills may come from one of three practice groups: American Neuromonitoring Associates, P.C., Midwest Neuromonitoring Associates, PLLC, or Pacific Neuromonitoring Associates, Inc.

Network Participation

Our physicians have limited in-network participation.  They are Medicare participating providers and participate with some Blue Cross, Medicaid, and other commercial payer networks. You can view a full list of monitoring physicians here and the plans in which they participate. Depending on your insurance plan, this means that you may receive IOM services from an out-of-network provider. You should check with your insurer to find out what this means for you.

Billing FAQ's

Q: What should I do when I receive an explanation of benefits (EOB) from my insurance company?

No immediate action is needed. Please note that an explanation of benefits from the insurance company is not a bill from NCS. You will receive a separate bill from NCS for the amount of a co-pay, co-insurance or deductible that is identified by your insurance payer as your responsibility.

Q: My claim was processed out-of-network – can NCS help to appeal?

If the EOB and the bill you receive from NCS show that your claim was processed on an out-of-network basis, NCS can assist. Please call 888.464.2466 and request that NCS send an out-of-network appeal to the insurance carrier. You can also ask your insurer to reprocess the claim. Some states require insurance plans to process claims in certain ways to limit the amount you owe if you receive care at an in-network hospital but are unknowingly treated by an out-of-network provider. NCS cannot bill you for the amount you would owe on an in-network basis unless your insurer tells us what that amount is. NCS will send you another bill when the outcome of the appeal is known.

Q: What should I do if I receive a check from the insurance company?

Although we will follow up with your insurer about the status, claims information is often sent directly to the insurance plan member (note that this often happens with Blue Cross accounts). Please forward any payment or correspondence you receive to our office as soon as possible. This will help us to update your account and apply payments properly. If the check is sent directly to you, please forward the check (or write a new check after depositing the insurance payment) and a copy of the EOB to the NCS office at 10275 Little Patuxent Parkway, #300, Columbia MD 21044. To endorse the check, sign on the back and write the name of the physician group that shows on the EOB below your signature. Please call 888.464.2466 with any questions.

Q: What do I do if I have concerns about my ability to pay my bill?

Please call 833.529.6665 and request information about our financial hardship policy and monthly payment plans. NCS does make reasonable efforts to collect all amounts owed but does not refer overdue patient accounts to a collection agency.

 

 

Disclaimer: The amount or estimated amount the patient may be charged, except for those charges incurred as a result of unforeseen medical circumstances, can be made available upon request.