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Insurance/ Billing

It is the patient's responsibility to make sure we are in-network with your insurance.

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We network with the following insurance plans: 

 

We will take 30% off of the price of your visit for people who prefer to pay cash, who want to bill their HSA card for a lower rate that day, or who are out of network. 

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 Call us for questions or more info. 

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Complete and in-network:

BCBS, but not BCBS Focal Point

 EMI

 First Health Network

 Healthy U

 Healthy Premier

 Kaiser Permanente

 Molina Medical

 PEHP

 SelectHealth

 SelectHealth Medicaid

 Tall Tree 

 Tricare Prime

Tricare West

 Utah Medicaid

 UHC

 UMR

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***We do not work with health share plans such as Liberty Health Share, Angle Insurance (effective Jan 1, 2024), Angies Health (effective Jan 1, 2024), Tricare East, or Oxford Health Plans.  For patients with those types of group coverage policies, please feel free to contact us about cash payment at the time of service or our Membership Model. 

Click here for an explanation of how our office bills our patients:

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Questions About Your Bill?

For questions about your bill, please contact our Billing Department with Independent Practice Revenue Cycle Management at 877-744-7726. If you need to leave a message, one of our billers will get back to you within one business day. 

 

Can't talk on the phone? Hit the 'Billing Department Inquiries Form' button and complete the form to get a response within one business day. 


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Good Faith

In January 2022, Congress passed the No Surprises Act. 


This requires medical providers to give our patients a "Good Faith" estimate of the charges that will be generated by an office visit IF:

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  • the visit is booked more than three days in advance and
     

  • the patient is out-of-network for the medical provider or

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  • the patient prefers to pay out-of-pocket at the time of service.


For those of you with high deductibles, it would benefit you to consider paying out of pocket/at the time of service with Gallagher Pediatrics since we provide a 30% discount on services provided in order to not have to work with your insurance company.  You can submit those charges to your HSA or even to your insurance company for reimbursement.

Gallagher Pediatrics Good Faith Estimate Form
 


Further explanation of a GFE (Good Faith Estimate) can be found here.

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