We are in-network and/or preferred providers for: Blue Cross Blue Shield, Aetna, Cigna, Medicaid, and Denali Kid Care. Proof of insurance is required at the time of service, however if a patient is unable to bring proof, we make every effort to look it up for them when possible.
Our office will bill as courtesy primary, secondary and tertiary insurance policies. We accept many other insurance policies that are not listed above. We inform our patients whether or not we are in-network with their insurance group and whether or not we have worked with their specific company before. All patients are encouraged to check their specific policy to see if an out of network acceptance is required, when applicable. Please provide all your insurance information to the front office staff and we will try to verify your coverage, as a courtesy. Please do not assume that you will not owe anything if you have more than one insurance policy. Our office staff can explain this information to you, if needed. If for some reason we are still unable to see a patient due to coverage restrictions or inability to pay, we try to always offer every other option, including other physicians that may possibly be able to assist them. We provide lists to our patients of local Family practice physicians, and pediatricians when requested as well.
Although we are contracted with the above insurance carriers, our services may not be covered by your particular insurance plan. A quote of benefits is not a guarantee of benefits or payment. Your claim will process according to your plan, if your claim processes differently from the benefits we were quoted, the insurance company will side with the plan and will not honor the benefit quote we received. Accepting insurance does not place all financial responsibilities onto our practice, payment for services is the patients responsibility.
Recently the Alaska Health Care Exchange updated their application to be included with Medicaid (all one application). We accept Medicaid and Denali Kid Care, if a patient is applying for/or has been approved for either of these programs we let them know they do not have to wait for the cards or stickers to come in the mail as proof. Once they are told they have been accepted for either program we verify online, and can set-up an appointment at that time. If for some reason we are unable to verify proof of eligibility online patient must bring proof. If a patients need is urgent we suggest calling the local Kenai office, this can speed up the approval process.
We are a BCHC provider; we have applications for patients to fill out at our office. We fax the applications for them. We also provide the website if they would like to apply online.
We accept most military insurance coverage’s. It is standard for these insurances to require prior authorization request from the patient to see any specialist, this must be initiated by the patient. Many times the insurance company will even set up the appointment for the patient, if the patient requests. Tricare, Triwest, and the VA always fax the approval with benefits covered to our office. We have to have this written authorization before the patients appointment.
We are In-Network with BCBS, AETNA, United Health Care, Meritain, ODS/MODA, Cigna, Multiplan, EBMS, and ASEA. We also accept VA/Triwest ins (referral is usually required). If your insurance is not listed here that doesn’t mean we don’t accept it, please give us a call or shoot us an email and we will let you know if your insurance is accepted or not.
Our policy for Self pay patients is that payment is due in full before or at time of service. For surgical procedures at the hospital, payment for Dr. Barton is due in full before surgery date.
We are proud to say we do accept Medicare.