MANA participates with Horizon Blue Cross Blue Shield of NJ, Aetna, United HealthCare, Oxford, Cigna, QualCare PPO and NJ Medicaid and Managed Medicaid Plans.
We will be happy to file all insurance claims for you regardless of our participation status with a carrier. If your carrier leaves you with a balance in excess of the amount you would have been responsible for had you used a participating provider, we will provide you with detailed instructions on how to file an appeal with your carrier.
Certain carriers will not pay non-participating providers and choose instead to send checks directly to their insured. It is your responsibility to turn those checks over to our office. You can simply endorse the back of the check and send it to us in the pre-addressed envelope included with your statement.
We make every effort to secure contracts with all of the major carriers. If we are unable to negotiate an equitable agreement with a carrier, we provide services as out-of-network providers and then work with you to ensure that you are getting the insurance benefits that you are entitled to.
Yes, we accept VISA, MasterCard, Discover and American Express. Please call our office to provide your credit card information to one of our Billing Specialists. There is also a section to provide credit card information on the back of every patient statement.
A deductible is a fixed dollar amount that you pay on a yearly basis before your carrier begins to cover medical expenses. Co-insurance, normally expressed as a percentage, is a sharing of medical costs between the carrier and the insured. A 90/10 plan means that the carrier will cover 90 percent of the medical expenses after the deductible, and the insured will cover 10 percent. Deductible and co-insurance amounts are your responsibility and cannot be waived; we are contractually obligated to collect them. MANA will bill you according to the specific terms of your insurance policy.
Please call our office and speak with one of our Billing Representatives. We will be happy to work with you to develop a reasonable payment plan.
The State of New Jersey mandates that every baby receive newborn hearing screening prior to discharge from the hospital. A member of the MANA Audiology Team performs and interprets the screen.
We are happy to file both primary and secondary claims on your behalf, but to do so we need to be aware that the baby is enrolled in two different plans. Please call us to supply the required insurance information.