For Patients

Frequently Asked Questions

What is this bill for?

QMACs bills for physicians and physician groups that charge for services according to industry standard fee schedules; these fee schedules are based upon Current Procedural Terminology (CPT) codes and International Catalog of Diseases, edition 9 (ICD-9) codes.

Why is my bill this amount?

QMACs bills for physicians and physician groups that charge for services according to industry standard fee schedules. These fee schedules are based upon Current Procedural Terminology (CPT) codes and International Catalog of Diseases, edition 9 (ICD-9) codes. QMACs coding department receives the physician’s documentation of the patient’s visit and assigns the appropriate CPT and ICD-9 codes in adherence to current government regulations.

Why hasn’t my insurance paid this claim?

We may not have the correct information, found on your current insurance card, including:

  • Name of Insurance Company
  • Address of insurance company
  • Phone number of insurance company
  • Subscriber name
  • Subscriber/patient insurance ID
  • Insurance group number
  • Subscriber/patient Social Security number
  • Relationship of patient to subscriber

Additionally, your insurance company may not have paid in a timely manner. We are billing you as the responsible party. Please call your insurance company to determine whether a problem exists concerning your account.

Contact us of any information we might add to help process your claim. If your insurance company agrees to pay your claim but is unable to locate it in their system, please let us know the name of the person you spoke with and their fax number. We will send the necessary form to that individual.

Note: We can fax claims only to the attention of the individual who has agreed to process the claim. Your insurance may not have been in effect on the date of service or it may not cover one or more procedures provided. Please call your insurance company to determine if a problem exists concerning your account. Contact us with any information we might add to help process your claim.

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