Q&A

Primary Care Physicians & Family Practice Physicians located in Mansfield, TX

Can I Use A Health Savings Account, Flexible Savings Account, Or Health Reimbursement Account (HSA/FSA/HRA) Debit Card?

You can use the debit card associated with your healthcare pre-tax account for Livingspring Family Medical Center expenses.

Do You Take My Insurance? 

If you have AETNA, Blue Cross Blue Shield, Tricare/TriWest, United, Imagine Health, or Optima insurance, we can run a benefits check to verify if we can file counseling claims for you. 

Can I Get Services If I Have No Insurance?

Yes, we offer comprehensive, timely, and affordable services that are based on your needs. Insurance companies require a diagnosis and then make it a permanent part of the client’s medical record. Client’s can choose to pay out of pocket (without insurance) to avoid this.   

Assessments are only available out of network (without insurance) because we feel that our clients should be able to choose if a diagnosis becomes part of their medical record.

Counseling is available either in-network (part of your medical record) or out-of-network (not part of your medical record) depending on your choice and your insurance coverage.

We do not provide services based on what will be approved by an insurance employee or what will most likely be paid by an insurance company. If you do not have insurance, you have the option to self-pay for the services received. Upon request, we will provide a Superbill after your services are paid for, in the event you want to find out if expenses are eligible for reimbursement from your insurance provider at a later date. 

What if I still have questions?

Phone: 817-717-9597

Please call the office if you have more questions!

FREQUENTLY ASKED QUESTIONS ABOUT YOUR BILL & INSURANCE:

Why did I receive a bill if I have insurance?

Even with insurance, you may still owe certain amounts — such as deductibles, copays, or coinsurance — depending on your plan. Your insurance covers part of the cost, and you are responsible for the rest.

Has my claim been processed by insurance?

We submit claims to your insurance promptly after your visit. If you’re unsure whether your claim has been processed, we can check the status for you or you can review it in your insurance portal.

Why does my Explanation of Benefits (EOB) show a different amount than my bill? 

Your EOB is not a bill. It shows what your provider charged, what your insurance paid, and what you may owe. Sometimes adjustments are made after the EOB is issued, which can change your final bill.

What is a deductible, and why do I have to pay it?

A deductible is the amount you pay out-of-pocket each year before your insurance starts paying for certain services. Until it’s met, you’re responsible for paying those charges.

What is a copay or coinsurance?

A copay is a fixed amount you pay for a service, such as an office visit. Coinsurance is a percentage of the bill you pay after your deductible is met. Both are determined by your insurance plan.

I was charged for a test I didn’t have — why?

Please contact us right away if you believe there is an error. We’ll review your chart and billing records to ensure all charges are correct.

Why is the billed amount so high? Isn’t insurance supposed to cover that?

The billed amount is the provider’s standard charge. Insurance companies have negotiated rates that reduce what you owe, but depending on your plan, you may still be responsible for part of the cost.

How can I find out if a specific service is covered by my insurance?

Coverage varies by plan. The best way to confirm is to contact your insurance provider directly, as they have the most up-to-date benefit information.

How long does it take for insurance to respond to a claim?

Processing times vary, but most insurance companies respond within 2–6 weeks. Complex claims may take longer.

Why was my claim denied or partially paid?

There are many possible reasons-missing information, service not covered, or benefit limits reached. We can review the denial and help you understand next steps, including resubmitting if possible.

What happens if I haven’t met my deductible yet?

You’ll be responsible for the allowed charges until your deductible is met. After that, your insurance will start paying according to your plan’s benefits.

Can I get a payment plan for my remaining balance?

Yes. We offer payment arrangements to help make your balance more manageable. Please contact our billing department to discuss options.

How can I get an itemized statement of my charges?

You can request one from our billing office at any time. It will list each service and the related charge.                                

Can you explain the charges listed on my bill?

Absolutely. Our billing team can review your statement line-by-line so you understand exactly what each charge is for.

My insurance changed recently — how do I update that information?

Please contact our office as soon as possible with your new insurance details to avoid delays in claim processing.

Do I need a referral or prior authorization for this service?

Some services require one, depending on your insurance plan. Check with your insurance company or our office before your appointment.

Can you confirm that my insurance has been billed?

Yes. We can verify the date your claim was submitted and provide you with a reference number if needed.