Billing
Thank you for your interest in Music City PrEP Clinic. This page is a resource to help you understand the billing process and will explain how we can help make anything billing-related a NO HASSLE process.
Unexpected Bill?
If you receive a surprise bill after your PrEP appointment with us, Don’t worry! We are here to help you. The MCPC Bill Slayer will help you with any bill.
We have a Bill Slayer who will help you reduce the bill you received, in some cases from over $1,000 down to an extremely discounted amount, and sometimes down to $0.
Music City PrEP Clinic is a non-profit clinic whose goal is to provide healthcare at the lowest cost possible to patients in a pleasant, shame-free environment
Steps to Slaying Your Bill:
- Submit your request to The Bill Slayer by clicking here.
- The Bill Slayer may need a copy of your bill.
- The Bill Slayer will figure out why you got a bill and whether we can slay it.
- The Bill Slayer will report back to you on their success.
If you receive a surprise bill after your PrEP appointment with us, Don’t worry! We are here to help you. The MCPC Bill Slayer will help you with any bill.
We have a Bill Slayer who will help you reduce the bill you received, in some cases from over $1,000 down to an extremely discounted amount, and sometimes down to $0.
Music City PrEP Clinic is a non-profit clinic whose goal is to provide healthcare at the lowest cost possible to patients in a pleasant, shame-free environment
Steps to Slaying your Bill:
- Submit your request to The Bill Slayer by clicking here.
- The Bill Slayer may need a copy of your bill.
- The Bill Slayer will figure out why you got a bill and whether we can slay it.
- The Bill Slayer will report back to you on their success.
Invoices (Bills) vs. EOBs
What is an EOB – EOB stands for Explanation of Benefits. This is a document that is sent to you to let you know a claim has been processed. The most important thing for you to remember is an EOB is not a bill. It lets you know which healthcare provider has filed a claim on your behalf, what it was for, whether it was approved, and for how much. You should always review your EOB to make sure it’s correct. Here’s a breakdown of how to read your EOB.
1. Explanation of Health Care Benefits
The top of the EOB contains information such as dates, names, a claim number, insurance plan identification, and provider information.
2. Provider Section
The grid section breaks down payment information. You’ll see how much the provider charged, followed by any adjustments made per their agreement with BCBSND, resulting in the “Allowed Amount” column.
3. Patient Non-Covered Amount
Depending on your plan, some services aren’t covered. Those charges would be indicated here.
This is a sample.
EOBs are company specific and may include varying information
4. Amounts you are responsible for
Deductible, copayment, and coinsurance are cost-sharing amounts that are your responsibility.
5. Amount You Owe
The most important part of the EOB is the amount you owe. When you get a bill from the provider, the amount charged should match this number.
6. Patient Benefit Summary
In the summary section, you’ll see additional notes about how your claim was processed and a running tally of your cost-sharing amounts for the year.
This is a sample.
EOBs are company specific and may include varying information
1. Explanation of Health Care Benefits
The top of the EOB contains information such as dates, names, a claim number, insurance plan identification, and provider information.
2. Provider Section
The grid section breaks down payment information. You’ll see how much the provider charged, followed by any adjustments made per their agreement with BCBSND, resulting in the “Allowed Amount” column.
3. Patient Non-Covered Amount
Depending on your plan, some services aren’t covered. Those charges would be indicated here.
4. Amounts you are responsible for
Deductible, copayment, and coinsurance are cost-sharing amounts that are your responsibility.
5. Amount You Owe
The most important part of the EOB is the amount you owe. When you get a bill from the provider, the amount charged should match this number.
6. Patient Benefit Summary
In the summary section, you’ll see additional notes about how your claim was processed and a running tally of your cost-sharing amounts for the year.
About Your Lab Bill
LabCorp Bills – LabCorp is a trusted partner of Music City PrEP Clinic and has been servicing our patients since our inception in 2018. LabCorp’s staff work side by side with our lab techs to provide our patients with caring, efficient in-clinic services leading to accurate and prompt results.
Here is an example of a Labcorp bill
– Receiving a bill from LabCorp
Since you were receiving services at Music City PrEP Clinic, you may not have expected to receive a bill from LabCorp. In some cases, you may receive a bill due to an internal error.
– Who should NOT receive a bill
If you are being seen for PrEP and insured, Affordable Care Act (ACA) plans must cover PrEP medications, appointments, and labs (testing) at no cost to you. In the event that your lab work was not covered 100%, there are programs to help with your copays and deductibles.
If you’re uninsured, Music City PrEP Clinic and LabCorp have programs that may cover the cost of your labs. Some conditions may apply.
– Who might receive a bill
If you are receiving diagnostic STI testing and you are insured, you may need to pay any deductibles, copayments, or coinsurance that your plan requires. Make sure you read your plan carefully so that you know what your plan will (and won’t) cover. Music City PrEP Clinic’s mission-aware PrEP assistance program currently does not offer assistance for patients who are not taking PrEP for the prevention of HIV.
Here is an example of a Labcorp bill
– Receiving a bill from LabCorp
Since you were receiving services at Music City PrEP Clinic, you may not have expected to receive a bill from LabCorp. In some cases, you may receive a bill due to an internal error.
– Who should NOT receive a bill
If you are being seen for PrEP and insured, Affordable Care Act (ACA) plans must cover PrEP medications, appointments, and labs (testing) at no cost to you. In the event that your lab work was not covered 100%, there are programs to help with your copays and deductibles.
If you’re uninsured, Music City PrEP Clinic and LabCorp have programs that may cover the cost of your labs. Some conditions may apply.
– Who might receive a bill
If you are receiving diagnostic STI testing and you are insured, you may need to pay any deductibles, copayments, or coinsurance that your plan requires. Make sure you read your plan carefully so that you know what your plan will (and won’t) cover. Music City PrEP Clinic’s mission-aware PrEP assistance program currently does not offer assistance for patients who are not taking PrEP for the prevention of HIV.
FAQs
The Bill Slayer is like Batman. Only they’re not fighting crime, they’re fighting to help you with high-cost healthcare.
Yes, you can just pay for it! You may owe a small balance due to a copay, co-insurance, or a deductible that needs to be met. We encourage everyone to pay if they can. As a non-profit organization, we provide assistance to all in need. If you pay your balance due, there is no need to send it to the Bill Slayer.
Yes, if you need assistance with your bill, please send it in right away. The sooner we receive the bill from you, the sooner we are able to help slay your bill.
You should receive an email reply from the Bill Slayer within a couple of days of submitting your bill.
The Bill Slayer will consider insurance status, appointment type, and services rendered. It is the goal of the Bill Slayer to help you reduce the bill you received, in some cases from over $1,000.00 down to an extremely discounted amount, and sometimes down to $0.00. It is our goal at Music City PrEP Clinic to provide the lowest-cost health care to all of our patients.
If your appointment is PrEP-related, there are programs to help with copays, deductibles, and provider visits. If you are being seen for STI testing only and your insurance did not cover your visit and labs as a preventative and the amount owed is greater than our cost, the Bill Slayer can reduce your bill to our deeply discounted rate.
If your appointment is PrEP-related, there are programs to help cover the cost of your appointment and labs, for those who qualify. For STI testing patients, if the “Pay Now” price is paid in full at the time of the visit, you should not receive a bill from LabCorp. If you received a bill from LabCorp for services that were paid for at the time of your visit, please see the “Unexpected Bill” section for instructions on submitting a request to the Bill Slayer.
Music City PrEP Clinic’s Pay Now price of $150 covers your appointment fee, labs, and treatment if needed. If you pay in full at the time of your visit you should not receive a bill from LabCorp. If you receive a bill, please see the “Unexpected Bill” section for instructions on submitting a request to the Bill Slayer.
If you received a bill from LabCorp and paid it in full at the time of the visit, please see the “Unexpected Bill” section for instructions on submitting a request to the Bill Slayer.
Our Pay Now Price of $150 may be an alternative for you. We encourage you to check with your insurance for specific coverage.
