INSURANCE & BILLING

INSURANCE & BILLING

KCAA is pleased to work with a variety of insurance providers. We ask patients to check with their insurance company to verify that our physicians are covered under the plan.

Please note that patients will be responsible for fees not covered by insurance. Copays are expected at the time of service.

Some insurance plans might not cover all services, or the plan may require referrals. Referrals are the responsibility of the patient. We ask patients to check with their insurance provider before the appointment to clarify coverage.

CALL (913) 491-1830 WITH BILLING QUESTIONS

Kansas City Allergy & Asthma - Insurance & Billing

FREQUENTLY ASKED BILLING QUESTIONS

Does insurance pay for allergy testing or allergy shots?

Insurance plans differ. Please contact the insurance provider to determine benefits.

Does KCAA charge for an office visit with every allergy shot?
No. Shots are given by a nurse. Patients are only charged for an office visit when seeing a doctor or care provider.
Will KCAA contact a patient’s insurance provider for disputes?
Patients are responsible for calling the customer service number on the back of their insurance card for questions or disputes regarding payment.
Does a copay apply to allergy shots?
Insurance plans differ. Contact the insurance provider to determine the benefits.
What is the code to determine if insurance covers allergy shots?
The code for a single injection is 95115 and for multiple injections is 95117.
What is the code to determine if insurance covers allergy testing?
The codes are 95004 and 95024.
What is the policy if a patient does not present insurance information at the time of service?

The patient is identified as “self-pay” and needs to pay in full at the time of service. We offer payment plans. Call our billing office at (913) 491-1830 to discuss a plan.

Does Medicare pay for food testing?
No.
Does KCAA participate with Medicaid?
No.
Is a referral from a primary care physician needed to come to KCAA?
If depends on the insurance plan, and all plans are different. Contact the insurance provider to determine if a referral is necessary. Patients are responsible for obtaining the referral.
What is a “prior authorization” as requested by insurance or pharmacy?
Many insurance companies want a patient to try less expensive medications before they will pay for a specific drug. They may not understand the customized nature of the medications we recommend. We must call the insurance company and answer questions or complete paperwork about the patient’s history. This process can take several days.
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