Billing & Insurance

Mental health benefits may be administered separately from your medical benefits. We strongly encourage patients to familiarize themselves with their mental health benefits and confirm their provider’s participation status before receiving services. Patients are ultimately responsible for charges incurred for services provided by an out-of-network provider.

• Anthem / Blue Cross Blue Shield
• Auxiant / Unified Group / Ascension Provider Network
• Sagamore
• UnitedHealthcare / United Behavioral Health
• UnitedHealthcare Marketplace
• WeShare Healthcare by UHSM

Please Note: Indiana Health Group does not participate with Medicare, Medicaid, or HIP plans.
Unfortunately, these plans prohibit our office or the covered member from filing a claim for out-of-network consideration. Therefore, patients will be responsible for payment in full fee at the time of service.

We participate with select UnitedHealthcare Marketplace plans. We do not currently participate with other Marketplace plans.

Insurance participation varies by provider and plan. Patients should confirm coverage and provider participation before scheduling.

Telephone: 317-843-9922 and choose option 5

Email: billing@indianahealthgroup.com

A patient may ask for an estimate of the amount the patient will be charged for a nonemergency medical service provided in our office. The law requires that an estimate be provided within 5 business days of scheduling the nonemergency health care service unless the nonemergency health care service is scheduled to be performed by the practitioner within 5 business days of the date of the patient’s request.

Our billing department is open Monday – Friday from 8:30 am – 3:00 pm.

Please contact your insurance company directly if you have questions regarding the way your claim was processed.

It is important to familiarize yourself with your mental health benefits!
Please be aware that mental health benefits are normally different from your medical benefits. Indiana Health Group does not verify insurance benefits information until after your initial visit with our group. It is your responsibility to verify and familiarize yourself with your mental health benefits.

Indiana Health Group will file claims with your primary insurance company upon submission of proof of insurance; however, the patient is ultimately responsible for all charges incurred with Indiana Health Group. Indiana Health Group will file secondary insurance claims for contracted insurance carriers only.

Private Pay Services / Out of Network Insurance Billed Services – Payment is due at the time of service.

Insurance Billed Services – Co-payments & deductibles are due at the time of service.

Patients will be unable to schedule an appointment if you have two outstanding co-payments, an account balance of $100 or more, or if your account balance is greater than 30 days past due after insurance processing.

Accounts in violation of our financial policy are subject to placement with a third-party collection agency. The patient will be responsible for reasonable attorney and collection fees.

Authorization for Treatment
We would encourage you to contact your insurance carrier to see if an initial authorization is required. It is the patient’s responsibility to obtain an initial authorization for services if required by insurance.

We understand that schedules change. If you are unable to keep your appointment, we ask that you provide at least 24 hours’ notice. Advance notice allows us the opportunity to offer that appointment time to another patient who may be waiting for care.

Appointments may be canceled 24 hours a day through the Patient Portal. You may also contact our office by phone during regular business hours.

Late Cancellation
Appointments canceled with less than 24 hours’ notice may be charged $50 up to the full appointment fee, at the discretion of the provider.

Missed Appointment
Appointments missed without notice may be charged $75 up to the full appointment fee, at the discretion of the provider.

Late Arrival
If you arrive late, your provider may determine that there is not enough time remaining to safely and appropriately complete your appointment. In that case, you may be asked to reschedule, and the appointment may be subject to the applicable late cancellation or missed appointment fee.

Repeated Attendance Issues
Repeated missed appointments, late cancellations, or late arrivals may affect our ability to continue providing services.

Appointment Reminders
Appointment reminders by phone, text, or email are provided as a courtesy. Patients are responsible for keeping track of scheduled appointments regardless of whether a reminder is received.

CHARGE DISPUTE FORM

These charges are deemed non-covered by insurance companies and are the responsibility of the patient.

Telephone Consultations
Please note: during the pandemic some insurances are covering telephone consults. Please check with your insurance carrier to verify coverage.
Telephone consults are not billable to insurance carriers. Full fee is due prior to the telephone consult. Payment can be made over the telephone via credit/debit card. The patient is to supply the telephone number in which to be contacted, Indiana Health Group staff will contact the patient at the time of the appointment, conduct check-in procedure, and the call will then be transferred to the therapist/doctor for the consult. Should the patient not be available a missed appointment charge will apply.

Forensic / Court / Legal
A $500.00 retainer fee is required. Hourly individual provider fees may vary however, these fees will have a minimum of two times the provider base rate. Payment in full is due at the time of scheduling. Fees are non-refundable unless cancelled 48-hours in advance.

Document Preparation
Document review with signature only will be charged a minimum of $10.00. A fee of $50 per every 15 minutes of time required to complete paperwork (including but not limited to work, disability, FMLA, life insurance, etc) will be charged for all forms completed outside of your schedule office visit. Payment in full is required prior to the release of the completed paperwork.

Medical Records
A current written release of information is required for all requests. All requests for medical records will be charged according to Indiana State Law. Payment is due prior to the processing of your request. There is no charge for records released directly to another healthcare professional for treatment purposes.

Case Management
Services provided outside of scheduled appointment times. (A consultation either via telephone or in person with parties outside of Indiana Health Group, such as family members, school officials, attorneys, physicians, etc.) A release of information is required.

For your convenience Indiana Health Group will file out of network claims upon proof of insurance. Below is a copy of our out of network filing terms.

• Payment is due at the time of service.
• The patient is responsible for all charges incurred with IHG.
• IHG is not responsible for obtaining authorization for out of network services.
• Discounts will not be applied to out of network claims.
• IHG is not responsible for processing errors caused by the insurance on out of network claims.
• IHG is not responsible for pursuing payment from the insurance for out of network claims.

Due to being out-of-network with Medicare, Medicaid, HIP, and Marketplace based plans, we are restricted from filing claims on an out-of-network basis.

Acceptable methods of payment: Cash, Check, Money Order and all major credit/debit cards including VISA, MasterCard, Discover and American Express.

All checks returned to us for non-sufficient funds will result in a $30 processing fee. The original check amount plus the processing fee must be paid at your next appointment o within 10 days, whichever occurs first. Indiana Health Group reserves the right of check refusal.

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