Billing
Pay your Great Strides bill online! Click the link below to find your child's account and see your most up-to-date statement.
We take most insurance, including Medicaid, Tricare, Blue Cross Blue Shield, Aetna and many more. We ask that you call us to confirm that we are in network with your specific plan.
Please ensure that prior to starting services, you also verify your insurance coverage for the services prescribed by your child’s pediatrician. You can do that by calling the member service telephone number located on the back of your insurance card. All copays, coinsurance or deductible payments are due at the time of the service. If your account becomes past due it is subject to late and/or collection fees. Any services rendered which are not reimbursed by insurance are the patient’s responsibility.
Frequently Asked Questions
All copays, coinsurances, and patient financial responsibilities for outpatient services are due at the time of service. We are not able to set up weekly, bi-weekly, or monthly payment collections at this time.
All copays, coinsurances, and patient financial responsibilities for ABA services done in the preschool are due every Monday.
We collect your financial responsibility based on the benefits quoted from your insurance company. We cannot wait for your claim to be processed in order to collect your financial obligation. If your child is seen for a large volume of therapies or in a location where we do not have a receptionist to collect payments, we encourage families to put a credit card on file.
If we are not informed of a deductible/out-of-pocket max being met in a timely manner, it may result in a credit on your account. Credits will be used towards future balances.
After your child is seen, your child’s therapist enters the visit with a billing code in our EMR system. 48 hours after the visit occurs, we submit the visit to the insurance company in the form of a claim. It takes up to 60 days for the insurance company to process the claim and send the Explanation of Benefits (EOB) to us with either a payment or a denial. We will do our best to communicate any information insurance relays to us to you in a timely manner.
We collect towards patients' deductibles, an amount that has to be met before insurance pays for medical care, even if your deductible or out-of-pocket maximum is met. We are instructed by insurance when you meet your deductible or your out-of-pocket maximum (OOPM). While waiting for the claims to process, we must charge what the insurance benefits were quoted as at the time of verification. Due to HIPPA reasons, your insurance company will not inform a provider when you have met it your deductible or OOPM prior to care. If you have been notified by your insurance company that you have reached your deductible or OOPM before we have received that information and you think you should not have to pay towards your deductible, please call us.
For your convenience, we mail statements on the first of every month. They will only generate if there is a balance due on your account. Balances can occur on statements if there is a fluctuation in services rendered, if payment was not able to be obtained at the time of service, if there is an established payment arrangement, or if insurance benefits differ from what was initially quoted. If you have placed a credit card on file, we will call you for permission to run it at that time.
Past-due payments are due by the 15th of that month. We apply a 5% late fee if payment is not received by that date. If your account balance exceeds our acceptable threshold, we will put your child’s treatment on hold until the balance is collected. If outstanding balances are more than 90 days old without a payment arrangement made, we will send the overdue account to our Collections Agency.
If you find that a claim has been processed incorrectly or that it does not reflect the benefits quoted, please call your insurance company for details. If it was your insurance company that made the error, we ask that you help us by calling the member services phone number on the back of your insurance card and ask them to reprocess the claim to fix the error. Please then provide us with the reference # from your call. If you find that Great Strides has made the error, please call us and have your claim number and reference number from your insurance company.
As a courtesy, Great Strides will call your insurance company to obtain your coverage for the services requested and then call you to go over it before we schedule your first appointment. We occasionally are quoted incorrect benefits from insurance companies and kindly ask that you also call your insurance company to ensure we have the same information. It is your responsibility to understand your insurance coverage and benefits for services requested. If you receive a different benefit quote than we do, we may ask to do a 3-way call with you and your insurance company so that we can settle the discrepancy. Please call our Patient Account Specialist at (904)886-3228, extension 307, with any questions about your benefits.
We ask that if you change your insurance policy for any reason, please notify us as soon as possible. Please bring your child's new insurance card with you to their next appointment and notify us of the new policy and the effective date. If you do not have the new insurance card yet, please call your insurance company and obtain the new member ID # in the meantime.
