Myron Luthringer, MD
Jennifer Marziale, MD
Syracuse: 315.492.5915
Auburn: 315.255.5945

Advanced OB-GYN

Billing & Insurance

Surprise Bill

Effective April 1, 2015, NYS passed the "Surprise Bill Law". This law is in response to consumer complaints involving inadequate reimbursement fro treatment received by out-of-network physicians. With regard to emergency services, the law provides that patients will not be liable to pay more than their in-network cost share or co-payments, regardless of the network provider where there were no in-network providers available, or where the provider failed to provide the disclosure required under the law, the patient is only responsible for their in-network cost sharing and may assign their claim to the out-of-network provider, who must seek any additional reimbursement directly from the patient's health insurer.

the law also requires disclosures regarding out of pocket expense to be made by health plans, providers and hospitals. With respect to providers, these disclosures include:

  • Prior to providing non-emergency services, providers must disclose to patients their right to know what will be billed for the procedure and if the patient request, they must disclose the anticipated cost, warning patients that the cost could go up if unanticipated consequences occur.
  • Providers must provide patients with their network and hospital affiliations in writing or on-line.
  • When patients make an appointment, providers must indicate whether they participate in a patient's network.
  • If other professional will be involved in a patient's care, the patient must be advised of who might be including and how to learn how much the network will cover for those providers.

If you receive a Surprise bill for health care services and want the services to be treated as in-network, please see the Benefit Form under Patient Forms.

Pay Your Bill Online

Please click here to pay your bill online: http://www.advancedob-gyn.com/pay-your-bill.php

Contact the Billing Department directly 315-492-5449. 

 You may also make a payment with Care Credit.com, Parasail.com or thru your Patient Portal.

 

Participating Insurance Carriers

The following is a list of insurance carriers that we participate with. We highly recommend that patient's contact their own insurance company to verify participating providers. this list can change without notice.

  • Aetna including Medicare Products
  • AARP
  • Blue Shield of CNY
  • CDPHP
  • Excellus - Blue Cross Blue Shield
  • Choice Care - Humana
  • Cigna
  • Community Care - UHC
  • Coventry/First Health/ Maritain Health
  • Emblem Health
  • Empire Plan - UHC
  • Fidelis Care New York (Excluding the Health Exchange Products)
  • GEHA
  • GHI
  • Great West
  • HealthNow New York
  • Lifetime Benefit Solutions
  • Martian's Point/US Family Health Plan
  • Medicaid NYS
  • Medicare Part B
  • Multiplan/PHSC
  • Mutual of Omaha
  • MVP Health Plan/Cigna - MVP (Including Health Exchange Products)
  • POMCO
  • Railroad Medicare
  • RMSCO
  • SIEBA/LTD
  • Tricare Standard (all other plans need a referral)
  • Today's Option
  • UnitedHealthare

 

Non-Participating Insurance Carriers

We Do Not participate with following: (List is subject to change without notice)

  • Aetna - Syracuse Prime PPO
  • Fidelis - Any Health Exchange Product
  • Total Care

 

 

Participating Hospital(s)

Upstate University Hospital at Community Campus

4900 Broad Road, Syracuse, New York 13215

-492-5011

www.upstate.edu/community

 

 

Outside Vendors

As, part of your care with Advanced Ob-Gyn you may receive bills for services with providers or vendors outside from our office. The following is a list of outside providers/vendors that may be involved in your care. We encourage you to contact them with questions regarding your insurance participation and cost. You may also want to contact your insurance carrier directly.

SUNY Upstate University Hospital - Community Campus - http://www.upstate.edu/community
4900 Broad Road, Syracuse, NY 13215   Billing/Payments: 315-701-5650, 315-464-2350, 315-464-2346

St. Joseph's Hospital Health Center - http://www.sjhsyr.org/
301 Prospect Ave. Syracuse, NY 13203  Billing: 315-448-5375 or ext. 8-5375 in house)

CHAG Anesthesia - Community Hospital Anesthesia Group
MMRI Billing; P O Box 2005, E. Syracuse, NY 13057   Billing: 315-449-0513

American Anesthesia Group of Syracuse - St Joseph's Hospital - http://www.anesgrp.com/billing.htm
P O Box 535766, Atlanta, GA 30353  Billing: 1-866-507-5244

Clear Path Diagnostics - http://clearpathdiagnostics.com
600 E Genesee Street, Suite 305, Syracuse, NY 13202  Billing: PSA - Outreach, 315-234-3311

Counsyl Inc. - https://www.counsyl.com/mission
180 Kimball Way, South San Francisco, CA 94080   General Questions 1-888-268-6795

Cryogenics - http://www.upstate.edu/pathology/healthcare/clinical_path/molecular_diagnostics.php
Testing: University Hospital 750 E Adams St., Syracuse, NY 13210   Out Patient Billing: 464-8078

University Pathology Labs: Reading Specimen
P O Box 4738, C/O Med Best Medical Management Inc., Syracuse, NY 13221    Billing: 315-464-6860

Lab Alliance of CNY - LACNY - http://www.laboratoryalliance.com
Customer Service 315-461-3008
LACNY 1304 Buckley Road, Syracuse, NY 13212, Customer Service: 315-461-3008, email address: info@lacny.com
Billing-PRL 315-883-4882, fax-315883-5451. http:PRLdocs.com

LabCorp - https://www.labcorp.com
P O Box 2240, Burlington, NC 27216-2240     Billing: 800-845-6167

Labrix Clinical Services, Inc. - http://www.labrix.com. 16255 SE 130th Ave, Clarkamas, OR 97015. Billing: 1-877-656-9596

Molecular Diagnostics - http://www.upstate.edu/pathology/healthcare/clinical_path/molecular_diagnostics.php

Testing University Hospital, 750 E. Adams St. Syracuse, NY 13210   Outpatient Billing: 315-464-8078

University Pathology Labs - Reading of Specimen. P. O. Box 4738, C/O Med Best Medical Management Inc., Syracuse, NY 13221 Billing 315-464-6860

 

 

 

 

 

 

 

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