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Insurance & Billing

Prepare for your appointment by calling your insurance and verifying that Dr. Phani Bodavula is in network with your insurance plan, and that he is listed as the Primary Care Provider for your child. 

 

Please give us a call or text so that we may give you information the insurance company may ask about our doctor. 

Insurance & Billing

Select the options below to view our accepted insurances:

Commercial

AETNA Healthcare

  • HMO
  • PPO

Bright HealthCare

BlueCross BlueShield of TX

  • Blue Advantage HMO
  • Blue Essentials HMO
  • Blue Premier
  • PPO, POS Trad

CIGNA Healthcare

  • HMO/POS/Network
  • Open Access Plus
  • PPO/Choice Fund PPO

COVENTRY/First Health PPO

Friday Health Plan PPO & EPO Exchange

Galaxy Healthcare 

  • Medical Savings Card
  • PPO

HealthCare Highways PPO

HealthSmart Preferred Care, Inc

  • ACCEL
  • GEPO
  • Health Payors
  • PPO

LoneStar Athletic Injury Network(USA MCO)

MultiPlan PPO

National Preferred Provider Network PPO

Nexcaliber(AAGI) PPO

Oscar Insurance Company of Texas EPO

Prime Health Services, Inc - Group Health

Private HealthCare System PPO

Provider Select PPO

Superior Ambetter Commercial Exchange

Three Rivers Provider Network PPO

TriWest VA Community Care(administered by BCBS)

Tricare Humana

United Healthcare Commercial, Most Products

USA Managed Care Organization PPO

 

Medicaid

AETNA Better Health

  • CHIP
  • Star Kids HMO Medicaid
  • Star Medicaid HMO

AmeriGroup/Wellpoint Corp

  • CHIP
  • Star Kids HMO Medicaid
  • Star Medicaid HMO
  • Star Plus
  • Star Plus Dual MMP

BlueCross BlueShield of TX

  • CHIP
  • Star
  • Star Kids 
  • Star Plus

Molina

  • CHIP
  • Dual MMP
  • Exchange Network
  • Star Medicaid HMO
  • Star Plus

Parkland Community Health Plan

  • STAR
  • CHIP

Superior Health Plan

  • Star Medicaid HMO
  • Star Plus

United Healthcare Medicaid, All Products

 

Our Billing Policy

For high deductible plans and self-pay patients, payment will be due at the time of visit. Patients are required to pay their copays and coinsurance at the time of visit, according to your insurance policies. 

It is your responsibility to know your benefits and to inform the front desk at the time of the visit to best guarantee payment from the insurance.

You are responsible for any covered or non-covered services as defined by your Insurer which are not paid by the primary insurance. 

The office will bill your insurance carrier for all covered services if the patient is covered by a plan that we are contracted with as a participating provider. All copayments are required to be paid at the time of the visit. 

It is your responsibility to present the patient's insurance card to the receptionist at every visit, even if you believe there have been no changes to the plan.

If an updated insurance card is not presented, or incorrect insurance card is given, and the claim is denied by the insurance, you will be responsible for any outstanding balance. We will not re-file the claim for you. 

If no payment is made on your account after four months, the account will be forwarded to a collection agency and credit bureau for further action. At this time, you will be notified by mail with a 30-day notice of the discontinuation of care. Prompt payment on your account will avoid this action. 

When a newborn is born, please add the newborn as your dependant with your insurance within 30 days. 

When there is a dispute between parents as to who will be responsible for payment, we will bill the parent that brought the child to their appointment. 

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For all billing inquires please email or call the billing department

Manju.H@Probeps.com                                                    833-995-5437 ext. 205