Billing and supplies for tube feeding

To update your billing address, please call the number on your invoice. It’s important to let us know when your billing address changes to help ensure on-time payments.

Before you start services with us, Coram will check on your insurance and explain the financial arrangements to you. You’ll be asked to sign the Financial Agreement Arrangement (FAA) related to billing and payment for services. The FAA will cover what we expect your insurance will pay and your out-of-pocket costs. You will be responsible for paying any co-payment or deductible amount, and for any service that’s not covered by your insurance.  
 

If you have Medicare insurance, we’ll send you an Advance Beneficiary Notice (ABN) that lists items or services that Medicare isn’t expected to pay for. We’ll provide an estimate of the costs for the items/services, and the reasons why Medicare may not pay for them.

When you make a payment, it’s applied to the oldest date of service. If there isn’t any service posted to your account, your payment will go into a hold account until it can be applied to an eligible claim.

Your account balance is shown on your statement. If you have any questions, just contact customer service.

For online payments, we accept VISA, MasterCard®, American Express® or Discover®. If you pay by mail or over the phone, we also accept a copay assistance or drug manufacturer's credit card, checks and money orders.

We'll work to help you find assistance. We can help with guidance on insurance and financial assistance options, including COBRA premiums, co-pay assistance, manufacturer product assistance programs, disability insurance and state programs.

The following products, services and costs of operation are included in the per diem charge:

• Professional pharmacy services, including dispensing, clinical monitoring by experienced clinicians, development and implementation of pharmaceutical care plans, care coordination, all necessary supplies and equipment
• Administrative services, including verification of insurance eligibility and extent of coverage, obtaining prior authorizations, performing billing functions, internal and external auditing and other regulatory compliance activities, maintaining inventories of medications, equipment, administration supplies and office supplies, maintaining physical plant and offices, maintaining computer clinical and administrative information systems, quality assessment and improvement activities
• Other support costs, including wages and salaries, property taxes, inventory carrying costs, costs of insurance coverage per state regulations, costs of maintaining accreditation, new product research and development, other applicable overhead and operational expenses.

The per diem does not include nursing visits or tube feeding formula which are billed and reimbursed separately.