- Pre-Certifications and Prior Authorizations
- Claims Submission and Billing
- Financial Assistance
- Contracted Insurance Plans
Insurance and Billing Process Overview
It is your responsibility to confirm your insurance benefits with your insurance plan(s) prior to your clinic visit or procedure. If your insurance plan(s) require(s) a co-payment for your appointment, the co-payment is due at the time of your appointment. To ensure accurate billing, you will be asked to provide current insurance information and photo identification each time you check in for an appointment at one of our offices. Failure to present your current card(s) will release MNGI from any responsibility for incorrect or untimely filing of contracted claims. Please alert our reception staff of any changes in insurance or personal information.
If your insurance plan(s) require(s) pre-certification or prior authorizations, you are responsible for calling our Business Office at (612) 871-1145 prior to your appointment. Our staff can assist you in obtaining approval for your visit or procedure.
If your insurance plan(s) require(s) a referral, you are responsible for obtaining this referral from your primary care provider or clinic prior to your appointment.
If you have provided us with insurance information, we will submit claims to your insurance plan(s) and will assist you in any way we reasonably can to facilitate getting your claims paid. However, your insurance plan(s) may need you to supply certain information directly and it is your responsibility to comply with this request.
Once your insurance claims have been processed by your insurance plan(s), a statement will be sent to you for any deductible, co-insurance, co-payment or other remaining balance not paid by your insurance plan(s). If you are scheduled for a procedure, you will receive more than one bill. One statement (from MNGI) will represent the physician fees for the appointment; a second, separate statement (from the hospital or ASC where the procedure was performed) will represent the facility fees. You could also receive separate bills from the pathologist (Hospital Pathology Associates) if a biopsy of a polyp or tissue sample was needed and/or a bill from the laboratory (LabCorp or Prometheus) if blood work was done.
If an anesthesia team member administers or monitors the sedation medication given during your procedure, there will be additional charges billed. Please check your insurance for specific benefits.
Payment in full is due upon receipt of your statement. We accept payment by credit card (Visa, MasterCard, American Express and Discover), personal check or money order. If you wish to make a payment online, please click here.
If you are unable to pay your balance in full, it is your responsibility to contact our Business Office to establish a mutually agreeable, interest-free payment plan as soon as possible and to discuss other financial resources which may be available.
Providing premier gastrointestinal care is important to us, regardless of one's financial status. MNGI has assistance options available to accommodate a variety of financial situations. If your income is not sufficient to cover your health care costs and you have been unable to establish a mutually agreeable payment plan with our Business Office, you may be eligible for a discount through the MNGI Financial Assistance Program.
Click here or contact our Business Office at (612) 871-1145 for more information regarding the MNGI Financial Assistance Program and external financial assistance programs and community resources that may be available to you.
The following is a list of many of the insurance plans with which we participate. Please contact your insurance plan prior to your appointment to determine your specific coverage and benefits. Click here for helpful hints to guide this conversation with your insurance plan.
Humana Choice Care
South Country Health Alliance
*These plans may require a referral. Please contact your primary care provider's referral department for more information.