At Physicians' Diagnostics & Rehabilitation, we realize your health care experience is not limited to just a clinic visit or therapy appointment. Our billing department is committed to making your financial experience as simplistic as your clinical one.

Our online billing guide can help you with:

• Understanding your bills
• Frequently asked billing questions
• Understanding commonly used billing terms

Understanding your bills

After you receive care at Physicians' Diagnostics & Rehabilitation, we will send a claim to your insurance company to pay your bill. We will do everything we can do to minimize your financial burden by maximizing your insurance benefits.

You may receive separate bills from PDR for your health care services. These may include billing statements for:

• A Co-insurance payment
• A past due Co-payment
• A balance due from your bill that your insurance company didn't cover
• Contact the Billing Department at PDR

Frequently asked billing questions

If you need additional information, please contact the Billing Department at PDR at 952-908-2700.

I received a billing statement. How do I know my insurance company paid its portion?
If you have any questions about your insurance payment, please call your insurance company directly. The insurance company's phone number is usually printed on the back of your insurance card.

When do I pay the co-payment?
Your co-payment is due at the time of your appointment. If you are unsure of your co-pay responsibilities, please look at your insurance card, or call your insurance company.

What if I forget to bring my insurance information to my appointment?
You will be registered as self-pay during scheduling, which means you are responsible for paying the entire bill. You should call the receptionist immediately at (952) 908-2700 after you get home to provide your insurance information, or you will be billed as self-pay.

How does my insurance company receive the claim for health care services?
PDR files the claim with your insurance company. To insure prompt, proper claim processing, please verify that we have the proper insurance information on file when you schedule your appointment.

Why are some of my bills from PDR covered by my insurance, while others are not covered?
Benefit plans and coverage can change every year and will determine whether or not a patient's bill is covered by insurance. It is not uncommon for healthcare coverage to have a deductible or out-of-pocket expense. Since each plan can be different, we encourage patients to carefully review their benefits with their insurance company.

I received a letter stating my account has been referred to a collection agency or collection attorney. Why was this done and what should I do?
Prior to an account being placed with collections, patients should receive two billing statements from PDR advising them of their account activity. They may also receive phone calls from PDR's billing office personnel during this billing period. After these steps have been taken and payment or payment arrangements have not been made, the account is then referred to collections. These agencies act as a branch of our billing department and therefore act under the direction of PDR. Once an account is placed with an outside agency, we ask that patients work directly with the agency to resolve the balance. We hope this lessens confusion and frustration by eliminating unnecessary phone calls for patients.

Understanding commonly used billing terms

At Physicians Diagnostics Rehabilitation, we realize patients are not always familiar with the terminology we use with reference to the billing process. This list of commonly-used billing terms and their definitions will help guide you through the process.

Billing Statement

Summary of patient account activity that is sent to parents or guardians updating them regarding the status of their claim.

Claim

The information billed to the insurance company for services provided to your child.

Contractual

The difference between the insurance contracted amount and the amount of the charge.

Co-payment or Co-insurance

The fee per visit paid by the patient or family for health-care services as determined by your medical insurance policy.

Deductible

The amount that the patient or family must pay for health-care services before the insurance policy begins making payments. The health insurance policy sets this amount; usually it is due every calendar year.

EOB (Explanation of Benefits)

A detailed explanation of coverage from the insurance company for the medical services provided to your child.

Financial Assistance

Adjustments made for qualified responsible parties, based on financial assistance applications and established financial guidelines.

Guarantor

The parent or guardian responsible for paying the bill.

Managed Care

A medical delivery system that manages the quality and cost of medical services.

Medicaid

The joint federal / state program that provides health care insurance to low-income families.

Payment Arrangements

A formal payment plan set up with Customer Service when the balance due cannot be entirely paid by the due date.

Payor

A third party entity (commercial or government) that pays medical claims.

Prior Authorization / Precertification

A formal approval obtained from the insurance company prior to delivery of medical services. Many insurance companies require prior authorization or precertification for specific medical services.

Subscriber

The person who holds and / or is responsible for the medical insurance policy.

Contacting your billing representative at PDR

If you have any questions, or need help in any way, please contact your facility billing representative:

AR Department Manager:
Becky F
(952) 908-2573

PDR Burnsville:
Andy
(952) 908-2589

PDR Coon Rapids:
Last names beginning with A-K contact Andy (952) 908-2589
Last names beginning with L-Z contact Lanesa (952) 908-2566

PDR Edina:
Lanesa
(952) 908-2566

PDR Maplewood:
Lil
(952) 908-2562