Billing and Insurance

We are ready to help you with your billing and insurance claim needs.

Please provide us your complete health insurance information and call our helpful patient services team. They are ready to assist you with any of your insurance needs and answer any of your billing questions or concerns.

Monday through Friday 8 AM to 5:30 PM
(855) 360-2430.

You can easily pay your bill online or set up a payment plan by utilizing Covenant Physician Partners’ secure online payment portal. The payment you make will be posted to rendering Facility, Physician, Anesthesiologist, and Pathologist (if applicable).

If we participate with your insurance plan, we will submit your claim. If we don’t participate with your insurance, as a courtesy we will submit the claim on your behalf. Keep in mind you will continue to get a statement from us until payment is made.

We participate with many Managed-Care Plans. The key to smooth processing of these claims is to ensure we have received a referral from your Primary Care Physician and that we have the correct insurance information on file. Any upfront costs (copays, deductible, coinsurance) are expected at the time of service.

We welcome Medicare Patients and are pleased to submit your Medicare and any secondary insurance claims. Please ensure that we have the most up to date insurance information and your Coordination of Benefits is up to date as well.

Headquartered in Nashville, TN, our Nashville Service Center offers our healthcare partners a centralized or decentralized operations model. Centralized centers will have their patient financial services managed through the Nashville Central Business office. The decentralized centers will manage their own patient financial services at their respective clinics.

If you have received medical care from one of our centralized locations, patient billing or insurance questions will be answered by one of our trained representatives at our Nashville Office. Our Nashville Service Center can be reached at 855-360-2430, Monday–Friday from 8 am to 5:30 pm.

If you have received or will receive medical care from one of our decentralized locations, patient billing or insurance questions will be answered by one of the trained representatives at the location you will be visiting.

Billing FAQ’s

There are a number of separate charges associated with your surgical procedure.  You MAY receive a bill for the following providers:

  1. The Ambulatory Surgical Center for your operating/recovery room facilities
  2. CRNA for the services of a certified registered nurse anesthetist
  3. Anesthesiologist for the administration of anesthesia
  4. Surgeon’s fee for his/her performing your surgery procedure
  5. Pathologist – services for tissue specimens removed during surgery requiring further examination

We accept all major credit cards such as Visa, Mastercard, Discover, and American Express. In addition, we also accept checks, Flexible Spending Cards, Debit Cards, and HSA cards.

The up-front costs quoted to you prior to your appointment are an estimate only. Your out of pocket responsibility could be a little more or less. The exact amount is difficult to quote due to claims being submitted to your insurance from other providers for processing.

Any upfront costs (deductibles, coinsurance) are expected at the time of service. If you are not able to pay all of the up-front costs, you can make payment arrangements with the facility for an acceptable amount down. The remaining balance due is to be paid within 6 months of service.

We do ask that all balances are paid within 6 months from the date of service.  Please contact our central billing office immediately at (855) 360-2430 to set up your payment plan.

A.Colonoscopy patients fall into 3 different categories and there are strict coding guidelines in place used to determine under which category a patient may fall.  These guidelines may prevent your procedure from being covered at  100% by your insurance company even though your primary care physician may have referred you for a “screening” colonoscopy.

  1. Diagnostic Colonoscopy is when a patient presents with gastrointestinal symptoms (ex. Blood in stool, changes in bowel habits) and treatment by colonoscopy is required.
  1. Surveillance Colonoscopy is when a patient is asymptomatic (no present gastrointestinal symptoms) but has a personal history of Crohn’s Disease, Ulcerative Colitis, or a personal or direct relative  with colon polyps, and/or colon cancer.  Patients in this category are required to undergo colonoscopy surveillance at shortened intervals (usually every 2-5 years) and depending on the insurance carrier, this category may be reimbursed as if you were having a diagnostic colonoscopy.
  1. Preventative Colonoscopy Screening (included as part of the Affordable Care Act) is when a patient is asymptomatic (no present gastrointestinal symptoms), is 50 years or older, and has no personal history of gastrointestinal disease, colon polyps, and/or cancer.  Patients in this category have not undergone a colonoscopy within the last 10 years.

No. We send summary bills to the patient. To request an itemized bill, please contact the central billing office at (855) 360-2430.

Your physician’s will obtain any required prior authorizations.

We will send out three statements in-an-attempt to collect monies owed or to offer you a payment plan. If you don’t pay the monies owed or refuse a payment plan the account may be turned over to an outside collection agency.

Yes. Use our secure Online Bill Payment Service to make payments on your bill.

Refer to the number on you statement

Yes, a member of our Patient Services Team are here to assist you from 8:AM to 5:30 PM, Monday – Friday CST.

Yes. If you don’t have any insurance, we offer discounted Self Pay Rates to you. We also offer a payment arrangement allowing you up to 6 months to pay off the balance owed.

Most insurance plans required you to pay a deductible and/or coinsurance. In addition, you could be responsible for any non-covered services. Please contact your insurance company for specific answers to your questions. You may have out of pocket expenses.

A co-payment is a set fee the patient pays to a provider at the time services are rendered. Co-pays are applied to office visits and telemedicine visits. The costs are usually minimal. Please contact your insurance company directly should you have questions regarding your insurance plan co-pays.

A deductible is an amount based upon your health plan, that is required to be paid out of pocket by you, before your insurance
will pay any health-related expenses. For example, if your policy contains a $500 deductible, you must pay $500 out of pocket
before your insurance carrier will pay benefits. Once your deductible has been met, the insurance will usually pay a percentage
of your bill. You are liable for the unpaid percentage. Deductibles are yearly, and typically start in January.

Co-insurance is a form of cost sharing.  After you have met your deductible, your insurance plan will begin paying a percentage of your bills.  The remaining amount, known as coinsurance, is the portion due by you.

One or more of the following may apply:

  • The service you received was not covered under your plan
  • You didn’t provide the correct insurance information at the time of service
  • The service you received was from a provider outside your plan’s network
  • You were not covered by your plan at the time of service
  • Your primary care physician didn’t process a referral for the services
  • A prior authorization for services was required but not obtained prior to the services being rendered.
  • Your insurance carrier shows you have another insurance primary

If there is a credit balance on your account, the account is automatically reviewed and there is nothing you need to do. If a refund is due, a check will be automatically mailed to the person or entity that made the payment

There was an overpayment to your account. Either you paid to much on the account and/or your insurance paid at a later date and covered some of what you already paid.

If you mailed your payment recently, chances are the check and bill have crossed in the mail. Contact the number on your statement to check on the status of your payment. Please accept our apologies, and be sure to let us know if you get another statement.

Just contact us at (855) 360-2430.