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.
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.