Tips for billing your insurance company | The Stone Clinic

You are here

Tips for billing your insurance company

  1. Write your Member Identification Number on all documents you submit to your insurance company. This will enable your insurance company to “find you in their system.”
  2. Write the "Date of Injury" on your superbill.  Insurance companies want to know that you were insured with their company at the time of your injury.
  3. If you want, write a cover letter telling the insurance that you will be calling them in 10 days to check the status of your claim.  If they know you are going to be anxious to receive your insurance reimbursement, they might move faster.
  4. Always keep a copy of everything you send to your insurance company.  It is inevitable that they will indicate claims were “never received” or “not on file.”  You may consider sending claims "Return Receipt Requested."
  5. Call approximately 10 days after you mail your claims to make sure they are “in the system” and are being processed.  Nothing is worse than calling 6 weeks later only to find out that they “never received your claim.”
  6. Ask for a Supervisor if the claims adjuster you are dealing with seems difficult or uninformed.
  7. When you call your insurance company, always ask the customer service representative for a call reference number. Make sure to document this number, along with their name, the date, the time of the call, and a small note detailing the outcome of the phone conversation.
  8. Keep the name, phone number, and extension of an adjuster or supervisor that you find to be extremely helpful.  Establishing a great rapport with this person will be invaluable in claims being handled fairly and in a timely manner.
  9. If you would like assistance in submitting your claims, The Stone Clinic works with two different billing companies who specialize in out-of-network claim submission for orthopaedic office services and surgery. The Stone Clinic has chosen to work with these companies specifically because they work as Patient Advocates to assist you in efficiently obtaining the maximum reimbursement for the services performed. Please contact our office at (415)563-3110 for further details.
Avoid joint replacement
You are told you have knee arthritis. The advice the doctor gives you is to go home, rest your knee, take anti-inflammatory drugs, lose some weight, wait until you are older and then get an artificial knee replacement. This advice is awful. Here's why.
Mind, Body, Gut Connection
Gluten-free, vegan, dairy-free…all these variations of diets originally designed to address irritable bowels are exploding—apparently, because people’s bowels are now explosive. Celiac, diverticulitis, irritable bowel syndrome, and their relatives are being diagnosed more frequently than ever. As a society, Americans are becoming both more mindful and more stressed. Could these be linked through the gut?
Ski Injury
Top skier breaks her leg. Doctor fixes it, gives her narcotics, and sends her home. She’s told to come back in two weeks for a checkup and have the rod taken out in a year. Doctor moves on to the next patient. What is wrong with this picture?
July 14th, 2015
In light of Wes Matthews and other NBA athletes suffering Achilles ruptures, Dr. Stone speaks to Mavs Moneyball, a...
July 11th, 2018
Dr. Stone gives the nation running tips on how to avoid pain while protecting your joints.
April 27th, 2016
Dr Stone talking about Steph Curry's injury and the Warrior's season.

Kevin R. Stone · Jonathan R. Pelsis · Scott T. Surrette · Ann W. Walgenbach · Thomas J. Turek 

Stone, K.R., Pelsis J.R., Adelson W.S., Walgenbach, A.W. 2010.

Stone, K.R., A. Freyer, T. Turek, A.W. Walgenbach, S. Wadhwa, and J. Crues. 2007.