Sometimes. It is very important to note that, according to federal law, patients who have Medicare, Medicare Advantage, and Arizona Health Care Cost Containment System (AHCCCS) health insurance plans are ineligible to submit claims for reimbursement. However, most patients who have private commercial or individual health insurance plans do have out-of-network benefits and may submit their own claims for reimbursement for services rendered at Summit Medicine and Pediatrics. In order to assist our patients in doing so, we provide to each of our patients an accounting summary of services rendered and payments made on a quarterly basis. This summary contains all the information, including diagnosis and procedure codes, necessary for their health insurance companies to process their claim and forward any applicable reimbursement funds directly to our patients.
