In this changing world of healthcare, financial and insurance issues can be
complex and confusing. This information will explain your role and help you understand our
process for billing medical services.
We accept most types of insurance. As a new patient, you should
contact your insurance provider for a written copy of your insurance policy.
This information can help you make informed decisions about your care and
will assist us in getting the information we need to process your insurance
claims quickly and accurately.
Managed care plans (HMO, PPO and POS) often require you to use specific
physicians, facilities and/or ancillary services. If you are covered by a
managed care plan, please consult your insurance company's provided manual
to determine whether Trinitas Comprehensive Cancer Center (TCCC) is a participating provider and that all your physicians are in the provider manual. Managed care plans may require co-payments for each outpatient visit and physician involved in your care.
The cost of your medical services will depend on which services your
physician feels are necessary to diagnose and treat your condition. You may
be covered by insurance, which will pay for some portion of your medical
services. Even though you are insured, it is likely that you will be
responsible for some costs of your medical services. This could be through
co-payments, deductibles, or annual or lifetime limits.
For some medical services, pre-authorization may be required by your insurance company. Failure to do so may result in denial of your claim by your insurance company, thus making you the responsible party for all the costs and/or penalties. TCCC registration staff will obtain the necessary pre-authorization from your insurance company on your behalf. If you are not covered by insurance and will be responsible for all medical services costs, you may want to contact our financial counselors. They will assist in estimating the costs of your initial services and inform you of the deposit policy.
You will receive multiple bills for your medical services. One bill will be
for the technical charges of the care you receive. Examples of these charges
are laboratory tests, CT Scans, chemotherapy infusions and radiation
treatments. Another bill will be for professional physician charges. Depending on the number of physicians involved in your care, you
may receive bills from surgeons, radiation medical oncologists, radiologists, pathologists, etc.
On your behalf, we will bill your insurance company for the technical
charges. This requires that we have your most current
and accurate insurance information. We will
photocopy your insurance cards and identification during registration. We will also require you to assign benefit payments directly to TCCC.
Continuing patients are responsible for advising TCCC of changes in their
insurance coverage or other personal information. If you are covered by more
than one insurance plan, we must have the information on each plan.
We will work closely with you and your insurance company; however, unresolved billing issues must be negotiated between you and your insurance company. For your
payment we accept cash, personal checks, Visa, Master Card and
American Express. If you have questions regarding a physician's bill, call the inquiries telephone number on that bill. If you have questions regarding the TCCC technical charges, please call your patient representative at 908-994-8520/8522.
If you are unable to reach someone during normal business hours, leave a
detailed message including your name, account number and daytime telephone
number. We will return your call the next business day.