New Mexico Gynecology Consultants, PC

Frances M. Fisk, MD | Angel Toledo, MA | Bonnie Jackson, RN | Carolyn Davis, RT | Brenda Maez ..... Call: (505) 242-5353

Billing and Insurance information
For billing and insurance questions, contact Brenda Maez at (505) 242-5353
Insurance Plans

Presbyterian Health Plan, Lovelace Health Plan, United Healthcare, Aetna, Cigna, Beech Streets, GEHA, Molina Health Care, and others.

If your plan is not listed, be sure and call for the plans that we are contracted.
insurance coverage
Insurance Plan Policy

If you have a managed care plan, you may be required to obtain a referral, prior authorization, or pre-certification for your visit or procedure.

If you have an insurance plan with which we do not participate, we will file the claim as a courtesy to you. If we have not received payment from your insurance company within 45 days of the date of service, you will be expected to pay the balance in full. You are responsible for all charges.

Laboratory tests
Laboratory Diagnostic Testing

We do not bill for laboratory diagnostic testing. When specimens are collected that require diagnostic evaluations, the laboratory will bill you separately for that testing. You are responsible for all charges. Laboratories selection is specified by your insurance plan and will be one of the following: TriCore Reference Lab, LabCore or Quest Laboratories.


medicare
Medicare


Medicare requires the collection of deductibles and co-payments, and waiver of such payment is not permitted. Medicare does not cover you for some medical services. Those services (and others) which Medicare does not financially cover are explained in the Advance Beneficiary Notice of NonCoverage (ABN) and available for your review.(select here).
no show and cancellations
No Shows and Cancellations

To serve our patients we must utilize our time efficiently. When an appointment is made, time is set aside for a patient’s needs, and work is performed to prepare for their visit. When a scheduled appointment is not completed, the time and effort our physician and staff is not only lost, but could have been used for another patient.

If you cannot make a scheduled visit, we ask that you call (505-242-5353) to cancel at least 24 hours prior to your appointment time. For late cancellations or not showing up to your scheduled appointment, a $35 fee will be charged and payment arrangements must be made prior to your next scheduled visit or your visit may be rescheduled until the no show and late cancellation fee is paid.

If you do not show for a 3rd scheduled visit, we will no longer be responsible for your healthcare and will send you a notice that we are withdrawing our services.
copayments
Copayments, Coinsurance and insurance deductibles

We collect applicable copayments, coinsurance, and deductibles at the time of service.  When visiting our office, please bring your most current insurance card to ensure the information is valid.  Incorrect or out-of-date information will delay processing of your claim, and you may be responsible for payment in full.

We currently accept payment in the forms of Visa, MasterCard, Discover, cash, and personal checks.

If you have a balance to be paid after your service, you will receive a statement in the mail.  Please note that you can either send a payment through the mail or pay with a credit card by calling the office.

Co-payments and insurance deductibles represent that portion of our services that patients must pay out of pocket. Such payments are required by the patient’s insurance payer, and the contractual agreements we have with insurance payers require us to collect those payment.

In order to comply with your insurance, New Mexico Gynecology Consultants requires payment at the time services are rendered. If you are unable to pay the co-payment or deductible in full at the time of your visit, payment arrangements must be made prior to your next scheduled visit or your visit may be rescheduled until the co-payment or deductible is paid.