Billing & Insurance

Our billing office is here to help. They can be reached at (510) 745-6535, Monday – Friday between 8am – 4pm

We are contracted with numerous insurance plans. However there are many insurance plans and variations of plans that employers choose, therefore making it impossible for our office to know the covered benefits of your insurance plan. It is the responsibility of the patient or family to know and understand the policies and benefits of their insurance plan.

This includes:

  • Co-payments
  • Covered hospitals, labs & x-ray
  • Prior Authorization & Referral procedures

If you have been affected by the recent changes between Anthem Blue Cross and Bay Valley Medical Group, we’d like you to know our doctors are contracted providers through Hill Physician’s Medical Group and WE ARE OPEN to new patients!

HMO plans

We are members of  Hill Physicians. It is important that if you are a member of one of these HMO plans and receive care in our office, that one of the doctors in our group is listed as your Primary Care Physician (PCP).

Below is a list of some of the non-HMO insurance plans we participate in:

  • Aetna
  • Blue Cross
  • Blue Shield
  • Cigna
  • Coventry Health Network / First Health
  • Great West
  • HealthNet
  • Multiplan (PHCS, Admar, Beech St.)
  • PacifiCare
  • Sutter Select / UMR- Limited employment sites. Under “Out-Of-Network” benefits.
  • United Healthcare

There are numerous other plans our physicians are contracted with. Please contact the plan you are considering during enrollment to confirm if your Primary Care Physician is a contracted provider with that plan.If we are not contracted with your plan, ask your insurance carrier about considering “out of network” options as well.

It is very important that you notify your employee benefits or HR department and insurance company of your newborn within the first 30 days of life for enrollment on your health plan.

At every office visit, be prepared to show your current insurance card and make a co-payment if your plan requires so.

Please notify our office any time there is a change in insurance coverage and bring the new insurance card to your appointment. Incorrect or out-of-date information will delay your claim and you may be held responsible to full payment of the claim.

We must emphasize we cannot accept responsibility for collecting or negotiating insurance claims.