We will make every effort to file your claim and assist you in any way we can. If you have any questions or problems with your bill, please contact our billing office.
The Anesthesiologist’s Bill
As a member of Kettering Anesthesia Associates, Inc., in private practice, your anesthesiologist will bill you separately from the surgeon’s fees or hospital charges. Most health insurance policies will pay for all or part of the anesthesiology fees. However, insurance policies vary greatly in the coverage provided.
Filing Your Claim
As a courtesy, we will file the claim for you. In order to do this we must have your correct insurance information. At the beginning of your hospital visit, we will gather this information from your patient registration record. If we have no information for you we will bill you directly. If you have any questions, or require any assistance, please call our billing office at (937) 424-0557. Our office may contact you to verify or correct our records.
Insurance Coverage for the Anesthesiology Fee
Insurance companies and their policies vary greatly in the amount of coverage provided. Although some insurance companies pay our fee in full, there may be a balance that you are responsible for dependent upon you benefit policy.
If your insurance does not cover the entire fee, you will be billed the balance.
Participating Insurance Companies
We participate with the following insurance companies:
- United Health Care
- Tricare for Life
- Medical Mutual
Please Note: For any further questions regarding insurance coverage please contact our billing office at (937) 424-0557.
Medicare Cover of Charges
Medicare will usually pay 80% of their approved amount for all covered services. If you have secondary insurance coverage and we have your insurance information we will bill them. If you do not have secondary insurance you will be responsible for the 20% unpaid by Medicare and any charges for services Medicare does not cover .
Determination of the Anesthesiology Fee
Anesthesiology fees are established according to a standard procedure used across the country by The American Society of Anesthesiologists. Our fees are based on the combination of the type of surgery, and the complexity and length of your specific surgery.
Please Help Us File Your Claim
We will make every effort to file your claim and assist you in any way we can. If you receive notification that your payment is past due, please phone our billing office at (937) 424-0557 to verify that we have your accurate information. If you have any questions or problems with your bill, please phone our office.
Frequently Asked Questions
Why did both you and the hospital bill me?
The hospital bills you for anesthesia related medications, supplies and equipment, but the bill does not include the services of the anesthesiologist. Anesthesiologists are physicians specially trained in administering anesthesia and monitoring your health. This bill is for the anesthesiologist’s services before, during and after surgery.
What is a CRNA and why was I billed for it?
Your care may have involved services provided by both an anesthesiologist (doctor) and a Certified Registered Nurse Anesthetist (CRNA). Medicare, and some other insurance plans, require two separate bills for the anesthesia provided during the surgical procedure—one for the doctor and one for the CRNA. The total payment we receive for each bill is exactly half of what we would receive if only one provider was involved in your care. Therefore, the total payment is equal to what we would be paid if only the doctor provided your care without the assistance of a CRNA. This billing requirement to send two bills to get one total payment can cause confusion. It may seem that we are billing you twice for the same service. We want to assure you that we are not billing twice for the same service; we are only following the regulations set forth by Medicare and other insurance plans for billing for anesthesia services.
For any questions or assistance, call our billing office at (937) 424-0557.
Billing Office Address
11460 N. Meridian St
Carmel, IN 46032
Remit Payments to:
Kettering Anesthesia Associates, Inc.
PO Box 713089
Columbus, OH 43271