Promus accepts the allowable rate of a carrier regardless of contract status. If the charge is $100 and the carrier allows $25 – then Promus writes off the $75 difference. When you hear the phrase ‘balance billing’ it refers to charging the patient the difference between what the lab charges and what the carrier allows – a practice Promus does not do.
If the $25.00, which the carrier allows, is applied to the patient’s copayment or deductible, the patient will be billed for that copayment or deductible. To be compliant, Promus follows the same billing policy regardless of network status.
Co-payments and Deductibles
If there is a remaining balance of the allowable charges which is the patient’s responsibility, the patient will receive three (3) statements for the allowed remaining balance indicated by the insurance company. After 120 days, the allowed balance of the patient’s bill will be considered for adjustments in most cases.
A patient will receive three (3) statements for the allowed remaining balance indicated by their insurance carrier if the following occurs:
- A portion of the claim is applied to their deductible.
- They have a co-payment portion designated by their insurance carrier.
- They do not have insurance coverage.
- The insurance carrier pays the patient directly.
In the event you need to pay your balance over time, Promus has engaged a third party finance company that will set up a payment plan for you. There is no interest charged on unpaid balances.
Patients without insurance coverage will be charged at a discounted rate of $250.
Promus has a prompt payment discount where any patient responsibility will be discounted if the payment is made within 30 days.
Promus has a hardship policy which includes a discount of up to 100% of any patient responsibility where the patient can demonstrate a genuine financial hardship and need. To apply for a financial hardship discount, please call 817-778-9210 Ext. 121 and request a copy of our hardship form. In addition to the information on the form, you will need to submit your most recent pay stub (if any), your last year’s IRS tax return and the number of dependents in your household.