Insurance Billing Policy
Sponaugle Wellness Institute is a non-participating medical provider with all insurance companies, including having opted out of medicare & Medicaid; patients will be required to provide payment for each treatment week.
Sponaugle Wellness does not accept the assignment of benefits from any insurance payer regardless of any insurance pre-authorization, pending litigation & settlement, or guarantee of funds.
Does the Sponaugle Wellness Institute Accept Insurance?
At Sponaugle Wellness, all patient treatment programs are customized based on patient outcomes vs. insurance reimbursements, such that CPT codes and reimbursement rates do not dictate any aspect of care.
Consequently, Sponaugle Wellness has opted out of Medicare and is non-participating with all insurance companies. Patients will be required to pay at the beginning of treatment and have the opportunity to file with Medical Bill Gurus for reimbursement after the completion of treatment.
3rd Party Medical Billing & Patient Advocacy
Past patients of the Sponaugle Wellness Institute have been successful in working with a 3rd party medical billing company called Medical Bill Gurus which specializes in assisting patients who have received treatments from non-participating medical providers such as the Sponaugle Wellness Institute.
Medical Bill Gurus has no upfront fees and works solely on a contingency basis of whatever reimbursements are successfully recovered on your behalf. To determine if your insurance policy has the adequate level of coverage and benefits to potentially secure insurance reimbursements for treatments received at the Sponaugle Wellness Institute, we recommend you sign up for a free case evaluation with Medical Bill Gurus, where they will review your insurance policy and discuss the insurance process to determine if you may qualify for insurance reimbursements.
Feel free to call Medical Bill Gurus at 1-800-674-7836 or email info@medicalbillgurus.com to sign up for a free case evaluation.
Insurance Billing Policy
Sponaugle Wellness Institute is a non-participating medical provider with all insurance companies, including having opted out of medicare & Medicaid; patients will be required to provide payment for each treatment week.
Sponaugle Wellness does not accept the assignment of benefits from any insurance payer regardless of any insurance pre-authorization, pending litigation & settlement, or guarantee of funds.
Does the Sponaugle Wellness Institute Accept Insurance?
At Sponaugle Wellness, all patient treatment programs are customized based on patient outcomes vs. insurance reimbursements, such that CPT codes and reimbursement rates do not dictate any aspect of care.
Consequently, Sponaugle Wellness has opted out of Medicare and is non-participating with all insurance companies. Patients will be required to pay at the beginning of treatment and have the opportunity to file with Medical Bill Gurus for reimbursement after the completion of treatment.
How Does The Insurance Reimbursement Process Work?
Medical Bill Gurus contracts directly with patients to act as a 3rd party medical billing, collections, & patient advocacy service.
Patients submit all itemized statements & then our medical billing experts handle all medical billing, coding, & collection efforts from submission to follow-up.
All claims are submitted as a member reimbursement, & checks are mailed directly to the policyholder.
Once the patient has received reimbursement, Medical Bill Gurus invoices the patient for the agreed contingency fee of 25% based on the reimbursement amount.
Why Use Medical Bill Gurus vs. Self-File Claims?
Medical Bill Gurus has 20+ years of experience in submitting & navigating insurance claims for patients receiving treatment at cash-pay medical providers.
The MBG Team is experienced in identifying which therapies & aspects of treatment are billable, & how to walk all claims through the system from submission to reimbursement as an out-of-network claim submission.
Note: If a patient has already submitted claims, Medical Bill Gurus cannot take on the case and provide any services for the previously submitted claims and dates of service.
Who Qualifies For Insurance Reimbursement?
To qualify for reimbursement, patients must have an insurance policy with qualifying out-of-network coverage & spend a minimum of $10,000 on billable aspects of treatment.
MBG typically has the best results with employer-sponsored PPO insurance plans & select health-sharing plans.
Unfortunately, patients with Medicaid, Medicare (including all supplements), and HMO insurance policies do not qualify for reimbursement.
To learn if you qualify - call 1-800-674-7836 or click here to sign up for a free case evaluation.
What is the Cost to Hire Medical Bill Gurus?
All services are provided on a contingency basis of 25%, with no upfront fees or risk for using the services of Medical Bill Gurus.