BILLING & INSURANCE INFORMATION

We participate with most local and many national insurance plans. However, it is your responsibility to understand whether your insurance has limits on the doctors you can see, or the services you can receive.

If you provide complete and accurate information about your insurance, we will submit claims to your insurance carrier and receive payments for services. Depending on your insurance coverage, you may be responsible for co-payments, co-insurance, or other deductible amounts.

Please contact our billing office or call your insurance carrier should you have questions.

ACCEPTED INSURANCE - Effective January 2024

We can submit for authorizations for most insurances.
Please contact the insurance department at: 805.988.2657

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Covering Radiation Therapy - Insurance Information for Patients

Radiation therapy is a complex treatment consisting of many tasks performed by our Radiation Oncologist, Radiation Physicist, Radiation Therapy Nurse and Patient Care Coordinator. Most insurance companies will cover the cost of the radiation therapy; however, if you do not have insurance, or have only limited insurance, please discuss your situation with our physicians so your case can be reviewed.

Charges for radiation oncology typically include:

• Physician's fee, which includes consultation and review of your records
• Treatment planning (determining the method and dose of radiation utilized)
• Field settings (determining the area to treat with specials x-rays or scans)
• Daily therapy (management and supervision of your daily treatments)
• Verification films (to verify that the correct area is being treated)
• Special blocks (custom-fabricated or generated blocks used for blocking the area not treated).
• Use of equipment and supplies

Understanding the Billing Process

At Ventura County Radiation Oncology Medical Group, Inc., we work to make the billing process streamlined for our patients.

Step 1: When you come to us for a service, we will ask you for your health insurance card and other information.

Step 2: After your service, we will contact your insurance company to collect the portion they will owe. Sometimes your insurance company will not pay right away because they require more information. This might slow down payment on your account.

Step 3: If a claim is denied because the insurance company does not have enough information, we will work with you and your insurance company to get the missing information. In some cases, there is a secondary insurer, and we will work with them as well. If services are responsibility of a third-party payer please contact our Customer Service department.

Step 4: Once all insurance payments are received, we may ask you for additional payments for the amount not yet paid. The amount due can be a non-covered service, deductible, copays or co-insurance. If you have an amount due that you feel is in excess of what you should owe, first compare it to your explanation of benefits from your health insurance. If the amount is the same please contact your health insurance company for an explanation. If you are uninsured, you may be eligible to receive a discount from your total charges, with the exception of any same day self-pay price.

We understand that at times you may be unable to pay your medical bills in full. For that reason, Ventura County Radiation Oncology Medical Group, Inc. has established monthly payment arrangements. If you have questions, please contact our Billing Department to speak with one of our agents: (805) 988-2657

Account Statements and Contact Attempts

You will receive a series of written notices for your bills in the following order:

An initial billing statement will be sent to you once your insurance has responded. The initial billing will include a summary of your charges after each service so you will see actual charges made to your account by date of service. After that you will only receive your one monthly guarantor billing statement with the amount you are responsible to pay.

There will be four attempts to contact you. These contacts will occur over a 120-day period from the first attempt to contact you. You will always have the ability to ask us for an itemized statement or contact a customer service department about your bill. If you have not submitted payment or made payment arrangements with us after the four written notices, we will send your account to a collection agency. Additionally, your account will be sent to a collection agency if you indicate at any time that you will not pay your bill, or the written notices are returned due to an invalid address.

Payment Policy

We work hard with every patient to arrange payment for care. However, even if you have a modest income, we expect everyone to contribute something to the cost of his or her care.

If you do not pay what you owe for your services, you eventually will be turned over to a collection agency but only after several billing notices and attempts to contact you. We are always willing to work with patients who make reasonable efforts to pay for their care.

What should I do if I cannot pay my bill in full when received?

You can contact the Billing Department at 805-988-2657 and they can assist you with setting up a payment plan.

Open Payments

“For informational purposes only, a link to the federal Centers for Medicare and Medicaid Services (CMS) Open Payments web page is provided here. The federal Physician Payments Sunshine Act requires that detailed information about payment and other payments of value worth over ten dollars ($10) from manufacturers of drugs, medical devices, and biologics to physicians and teaching hospitals be made available to the public.”